SCOTT MATTHEW RAWLINGS APRN, CNP
NPI 1811140452
Nurse Practitioner - Acute Care in Montgomery, OH

Active since October 28, 2008PECOS EnrolledAccepts Medicare Assignment
10547 MONTGOMERY RD, SUITE 400, MONTGOMERY, OH 45242(513) 791-6611 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Scott Matthew Rawlings Aprn, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT MATTHEW RAWLINGS APRN, CNP (NPI 1811140452) is an individual acute care provider in Montgomery, Ohio, licensed in Ohio (COA.13772-NP) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1811140452
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameSCOTT MATTHEW RAWLINGSCredential: APRN, CNP
Location Address10547 MONTGOMERY RD, SUITE 400Montgomery, OH 45242-4418
Mailing AddressPo Box 637783Cincinnati, OH 45263-7783 · (513) 853-4749 · Fax (513) 853-4740
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 28, 2008
Last NPPES UpdateJuly 1, 2014
✔ NPI 1811140452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · COA.13772-NP
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AT001575 (OH)
10547 MONTGOMERY RD, Montgomery, OH 45242

Other Identifiers 4

Medicaid0079881OH
Medicaid201152330IN
Medicare PINH167970OH
Medicare PINM182480001IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott Matthew Rawlings Aprn, Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850546458
PECOS Enrollment IDI20130305000630
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Scott Rawlings reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3239 JEFFERSON AVE STE 1
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 107 clinicians in this Medicare group
Internal Medicine
3239 JEFFERSON AVE STE 1PMB1015
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 109 clinicians in this Medicare group
Internal Medicine
100 MEDICAL CENTER DR
Springfield, OH 45504
  • Reassigned Medicare billing, Ohio enrollment
  • 494 clinicians in this Medicare group
Internal Medicine
9200 WORTHINGTON RD STE 300
Westerville, OH 43082
  • Reassigned Medicare billing, Ohio enrollment
  • 119 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
173 services98 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
124 services114 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
119 services71 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
10547 MONTGOMERY RD, STE 700
CINCINNATI, OH 45242
Counselor
10547 MONTGOMERY RD
MONTGOMERY, OH 45242
Physical Medicine & Rehabilitation
10547 MONTGOMERY RD, STE 700
CINCINNATI, OH 45242
Specialist
10547 MONTGOMERY RD, STE 700
MONTGOMERY, OH 45242
Durable Medical Equipment & Medical Supplies
10547 MONTGOMERY RD, SUITE 400
CINCINNATI, OH 45242
Clinical Exercise Physiologist
10547 MONTGOMERY RD
MONTGOMERY, OH 45242
Orthopaedic Surgery
10547 MONTGOMERY RD, STE 400
MONTGOMERY, OH 45242
Orthopaedic Surgery
10547 MONTGOMERY RD, SUITE 400
CINCINNATI, OH 45242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Rawlings's NPI number?

The NPI number for Scott Rawlings is 1811140452. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Scott Rawlings located?

Scott Rawlings practices at 10547 Montgomery Rd Suite 400, Montgomery, OH 45242. The listed phone number is (513) 791-6611.

What is Scott Rawlings's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Scott Rawlings enrolled in Medicare?

Yes. Scott Rawlings is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Scott Rawlings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Rawlings reassigns Medicare benefits to 4 organizations: Ch Specialty Services Oh LLC (Cincinnati, OH), Curana Health Of Ohio (Cincinnati, OH), Usacs Integrated Acute Care Services Of Ohio, LLC (Springfield, OH) and Preferred Physician Services Of Ohio LLC (Westerville, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Rawlings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Rawlings accept?

Health plans from CareSource and Molina Healthcare list Scott Rawlings as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Scott Rawlings affiliated with any hospitals?

According to CMS data, Scott Rawlings is affiliated with Mercy Health-Anderson Hospital and The Jewish Hospital-Mercy Health.

When was this NPI record last updated?

The NPPES record for Scott Rawlings was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.