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SCOTT BIGGINS MD
NPI 1861443145
Internal Medicine - Hepatology in Seattle, WA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
97.15/100
CMS Quality Rating
1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 598-4377 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2018, Feb 21, 2017 (2 updates tracked since 2017).

About Scott Biggins Md NPPES

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

SCOTT BIGGINS MD (NPI 1861443145) is an individual hepatology provider in Seattle, Washington, licensed in Washington (MD60707403) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1861443145
Entity TypeIndividualMale
Primary Taxonomy207RI0008X
Provider Legal NameSCOTT BIGGINSCredential: MD
Location Address1959 NE PACIFIC STSeattle, WA 98195-0001
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Phone(206) 598-4377
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 12, 2006
Last NPPES UpdateJanuary 25, 20242 updates tracked since enumeration
✔ NPI 1861443145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0008X
License✔ Licensed in WA · MD60707403
Definition
The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License MD60707403 (WA)
1959 NE PACIFIC ST, Seattle, WA 98195
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Other Identifiers 1

Medicaid1861443145WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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 Biggins 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 ID6204870983
PECOS Enrollment IDI20231121002133
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.

Areas of Expertise CMS Part B claims 4

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.
60 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

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.

97.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.69
Promoting Interoperability100
Improvement Activities40
Cost86.57

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
28 suppliers115 claims9,574 services$0.31 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers19 claims2,820 services$0.59 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers48 claims7,200 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
28 suppliers111 claims111 services$17.48 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
26 suppliers108 claims119 services$11.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LEONIE A NEVILLE PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 598-4874
ALISA BETH KACHIKIS M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195
King County (206) 598-4070
MS. MARY PATRICIA DODGE MS, OTR/L
Occupational Therapist
1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195
King County (206) 598-4830
RIKA SHIRAKAWA M.D.
Ophthalmology
1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195
King County (206) 558-9616
VEDA TSOI M.D.
Anesthesiology
1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (801) 556-7628
KATHRYN TAMURA PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195
King County (206) 598-6060
DR. MARK ROBERT, MICHAEL KILGORE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195
King County (206) 598-1821
DR. SERKAN MEHMET SAHIN M.D.
Hospitalist
1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 543-6420

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 Biggins's NPI number?

The NPI number for Scott Biggins is 1861443145. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Scott Biggins located?

Scott Biggins practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 598-4377.

What is Scott Biggins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Is Scott Biggins enrolled in Medicare?

Yes. Scott Biggins 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.

What insurance does Scott Biggins accept?

Health plans from Providence Health Plan list Scott Biggins 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 Biggins affiliated with any hospitals?

According to CMS data, Scott Biggins is affiliated with Upmc Mercy, Upmc Passavant, Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Scott Biggins was last updated on January 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.