DR. SCOTT E ROBERTSON MD
NPI 1811970437
Family Medicine in Pismo Beach, CA

Q: What is Scott Robertson's NPI number?

The NPI number for Scott Robertson is 1811970437. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Q: What is Scott Robertson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Robertson was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 29, 2005PECOS Enrolled

877 OAK PARK BLVD, PISMO BEACH, CA 93449(805) 474-8450(805) 474-8454 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 22, 2017, Dec 31, 2015 (2 updates tracked since 2015).

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About Dr. Scott E Robertson Md NPPES

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

DR. SCOTT E ROBERTSON MD (NPI 1811970437) is an individual family medicine provider in Pismo Beach, California, licensed in California (A81709) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811970437

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SCOTT E ROBERTSONCredential: MD

Location Address877 OAK PARK BLVDPismo Beach, CA 93449-3292

Mailing Address504 Plaza DrSanta Maria, CA 93454-6917 · (805) 739-3474

Phone(805) 474-8450

Fax(805) 474-8454

Sole ProprietorNo

Enumeration DateNovember 29, 2005

Last NPPES UpdateMarch 22, 20172 updates tracked since enumeration

✔ NPI 1811970437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A81709

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

877 OAK PARK BLVD, Pismo Beach, CA 93449

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Other Identifiers 3

Other00A817090CA · Blue Shield Of California

OtherA81709CA · Blue Cross

Other7202506CA · Aetna Pin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott E Robertson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Scott Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Central Coast Health Centers

Same address

Community Health

877 OAK PARK BLVD
Pismo Beach, CA 93449

Reassigned Medicare billing, California enrollment
263 clinicians in this Medicare group

NPI 1831544311 (805) 474-8450

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93449 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

$91.64 typical visit price

range $59.84 – $178.89

Typical copayment $22.91 (range $14.96 – $44.72)

Most-billed visit code 99203

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

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 20

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

TINA MARIE LOAYZA F.N.P

Nurse Practitioner (Family)