SCOTT SEGAL MD
NPI 1821086323
Psychiatry & Neurology - Psychiatry in North Miami, FL

Q: What is Scott Segal's NPI number?

The NPI number for Scott Segal is 1821086323. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Q: What is Scott Segal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Scott Segal was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 10, 2005PECOS EnrolledAccepts Medicare Assignment

1065 NE 125TH ST STE 206, NORTH MIAMI, FL 33161(305) 891-0050(305) 891-0497 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, Aug 16, 2023, Jul 25, 2022 and 2 more (5 updates tracked since 2018).

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About Scott Segal Md NPPES

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

SCOTT SEGAL MD (NPI 1821086323) is an individual psychiatry provider in North Miami, Florida, licensed in Florida (ME54622) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Albany Medical College Of Union University (1986).

NPPES Registry Identity

NPI1821086323

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameSCOTT SEGALCredential: MD

Location Address1065 NE 125TH ST STE 206North Miami, FL 33161-5832

Mailing Address1065 Ne 125th St Ste 300North Miami, FL 33161-5833 · (888) 852-6672 · Fax (305) 891-4228

Phone(305) 891-0050

Fax(305) 891-0497

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 1986

Enumeration DateOctober 10, 2005

Last NPPES UpdateJanuary 16, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2024

✔ NPI 1821086323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in FL · ME54622✔ Licensed in ND · 19828✔ Licensed in CO · DR.0036619

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License ME54622 (FL), DR.0036619 (CO)

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License ME54622 (FL), DR.0036619 (CO)

1065 NE 125TH ST STE 206, North Miami, FL 33161

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Secondary Practice Locations 7

Location 16915 Tutt Blvd Ste 110BColorado Springs, CO 80923-3591 · Phone (719) 445-1292 · Fax (719) 591-6486

Location 29218 Kimmer Dr Ste 200Lone Tree, CO 80124-6733 · Phone (303) 683-5620 · Fax (303) 683-5609

Location 310301 HAGEN RANCH RD STE B200BOYNTON BEACH, FL 33437-3723 · Phone (561) 752-9490 · Fax (561) 752-9491

Location 411430 N KENDALL DR STE 106MIAMI, FL 33176-1041 · Phone (305) 279-5535 · Fax (305) 279-2742

Location 51601 N PALM AVE STE 211PEMBROKE PINES, FL 33026-3204 · Phone (954) 447-0010 · Fax (954) 447-0899

Location 67481 W OAKLAND PARK BLVD STE 100TAMARAC, FL 33319-4985 · Phone (954) 771-7743 · Fax (954) 771-7748

Location 71308 Elbow Wood LaneBismarck, ND 58503-5712 · Phone (888) 852-6672 · Fax (305) 891-4228

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Blue Cross Blue Shield of North Dakota and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott Segal Md 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 ID8426955642

PECOS Enrollment IDI20070518000460

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33161 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

$187.05 typical visit price

range $60.92 – $187.05

Typical copayment $46.76 (range $15.23 – $46.76)

Most-billed visit code 99205

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Depression Utilization of the PHQ-9 Tool

The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit

Patients 4MonthsOfEnd: 94% · 765 patients

Patients 4MonthsOfStart: 46% · 732 patients

38%778 patients

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%11,750 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

85%9,734 patients2/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

48%23 patients3/55-star benchmark: 88%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

12%2,035 patients1/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

90%2,945 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

89%1,659 patients4/55-star benchmark: 96%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

87%2,035 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

5%2,035 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

4%2,035 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MS. MELISSA J. ROUSSEAU NP, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)