DR. SCOTT RANDALL PEPIN M.D.
NPI 1841429453
Orthopaedic Surgery - Sports Medicine in Woodbury, MN

Q: What is Scott Pepin's NPI number?

The NPI number for Scott Pepin is 1841429453. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Q: What is Scott Pepin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Scott Pepin was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 06, 2009PECOS EnrolledAccepts Medicare Assignment

2090 WOODWINDS DR STE 100, WOODBURY, MN 55125(651) 968-5201(651) 968-5201 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 15, 2017, Apr 2, 2016 (3 updates tracked since 2016).

On this page

About Dr. Scott Randall Pepin M.d. NPPES

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

DR. SCOTT RANDALL PEPIN M.D. (NPI 1841429453) is an individual sports medicine provider in Woodbury, Minnesota, licensed in Minnesota (109016) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of University Of Minnesota Medical School (2009).

NPPES Registry Identity

NPI1841429453

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. SCOTT RANDALL PEPINCredential: M.D.

Location Address2090 WOODWINDS DR STE 100Woodbury, MN 55125-2522

Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925 · (651) 968-5201

Phone(651) 968-5201

Fax(651) 968-5201

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2009

Enumeration DateJuly 6, 2009

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1841429453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in MN · 109016

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 01073563A (IN)

2090 WOODWINDS DR STE 100, Woodbury, MN 55125

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Dr. Scott Randall Pepin M.d. 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 ID8325284516

PECOS Enrollment IDI20160726003013, I20210622002170

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 Pepin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Orthopedics, Ltd

3.7 mi

Orthopaedic Surgery

710 COMMERCE DR STE 200
Woodbury, MN 55125

Reassigned Medicare billing, Minnesota and Wisconsin enrollments
197 clinicians in this Medicare group

NPI 1306899463 (651) 968-5042

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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

78 services66 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

60 services53 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

55 services50 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

39 services37 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

30 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240210

Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County

Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240213

Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 14

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

JOSEPH GERARD CUNNIFF D.C. D.O.

Physical Medicine & Rehabilitation