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SCOTT MILSTEIN D.O.
NPI 1922113034
Family Medicine in Milton, DE

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
23900 MILTON ELLENDALE HWY, MILTON, DE 19968(302) 684-2033(888) 987-4302 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Scott Milstein D.o. NPPES

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

SCOTT MILSTEIN D.O. (NPI 1922113034) is an individual family medicine provider in Milton, Delaware, licensed in Pennsylvania (OS008204L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Greensburg, and is a graduate of Rowan University School Of Osteopathic Medicine (1990).

NPPES Registry Identity

NPI1922113034
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT MILSTEINCredential: D.O.
Location Address23900 MILTON ELLENDALE HWYMilton, DE 19968-2714
Mailing Address1515 Savannah RdLewes, DE 19958-1675 · (302) 645-3499
Phone(302) 684-2033
Fax(888) 987-4302
Sole ProprietorYes
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1990
Enumeration DateAugust 20, 2006
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1922113034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS008204L
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.
23900 MILTON ELLENDALE HWY, Milton, DE 19968
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Secondary Practice Location 1

Location 11123 Woodward DrGreensburg, PA 15601-6416 · Phone (724) 837-9070 · Fax (724) 837-0157

Other Identifiers 1

Medicaid0016552020009PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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 Milstein D.o. 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 ID1759321102
PECOS Enrollment IDI20241231000217
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 19968 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

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
100%80 patients5/55-star benchmark: 100%
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 5

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

TABITHA KELLY PA
Physician Assistant
23900 MILTON ELLENDALE HWY
MILTON, DE 19968
Sussex County (302) 684-5635
MS. DIAMOND MICHELLE MICIELLI FNP
Nurse Practitioner
23900 MILTON ELLENDALE HWY
MILTON, DE 19968
Sussex County (302) 684-2033
MARIA V. HALDAR M.D.
Internal Medicine
23900 MILTON ELLENDALE HWY
MILTON, DE 19968
Sussex County (302) 684-2033
PUNIT A. PANDYA D.O.
Neurological Surgery
23900 MILTON ELLENDALE HWY
MILTON, DE 19968
Sussex County (302) 684-2033
EMMA GABRIELLE KLIER PA-C
Physician Assistant
23900 MILTON ELLENDALE HWY
MILTON, DE 19968
Sussex County (302) 684-5635

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 Milstein's NPI number?

The NPI number for Scott Milstein is 1922113034. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Scott Milstein located?

Scott Milstein practices at 23900 Milton Ellendale Hwy, Milton, DE 19968. The listed phone number is (302) 684-2033.

What is Scott Milstein's specialty?

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

Is Scott Milstein enrolled in Medicare?

Yes. Scott Milstein 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 Milstein accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Scott Milstein 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.

When was this NPI record last updated?

The NPPES record for Scott Milstein was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.