DR. SCOTT EVAN BLUMENTHAL D.O.
NPI 1922199843
Specialist in Boca Raton, FL

Q: What is Scott Blumenthal's NPI number?

The NPI number for Scott Blumenthal is 1922199843. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Scott Blumenthal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Blumenthal was last updated on November 17, 2016. 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 September 27, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1601 CLINT MOORE ROAD, SUITE 120, BOCA RATON, FL 33487(561) 939-0300(561) 939-0339 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Scott Evan Blumenthal D.o. NPPES

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

DR. SCOTT EVAN BLUMENTHAL D.O. (NPI 1922199843) is an individual specialist in Boca Raton, Florida, licensed in Florida (OS9088) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1922199843

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. SCOTT EVAN BLUMENTHALCredential: D.O.

Location Address1601 CLINT MOORE ROAD, SUITE 120Boca Raton, FL 33487

Mailing Address1601 Clint Moore Road, Suite 120Boca Raton, FL 33487 · (561) 939-0300 · Fax (561) 939-0339

Phone(561) 939-0300

Fax(561) 939-0339

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateSeptember 27, 2006

Last NPPES UpdateNovember 17, 2016

✔ NPI 1922199843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · OS9088

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1601 CLINT MOORE ROAD, Boca Raton, FL 33487

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN99446FL

Medicare UPINI16327FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Florida Blue (BlueCross BlueShield FL).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 Evan Blumenthal 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 ID3870561343

PECOS Enrollment IDI20040923000962, I20230728001714, I20250128004609, I20250129000975, I20250212001585, I20250213002060, I20250410002321, I20250609003493, I20250619002458, I20250716002650

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 Reassignments

Medicare enrollment records show Scott Blumenthal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Florida Neurology Associates PA

Same address

Specialist

1601 CLINT MOORE RD, SUITE 120
Boca Raton, FL 33487

Reassigned Medicare billing, Florida enrollment
9 clinicians in this Medicare group

NPI 1609826296 (561) 939-0300

Access Telecare, PLLC

1,094 mi

Internal Medicine

1717 MAIN ST STE 5850
Dallas, TX 75201

Reassigned Medicare billing, Florida, Georgia, Massachusetts, Maine, Michigan, Missouri, New Hampshire, New Mexico, Ohio, Pennsylvania, Rhode Island, Tennessee, Virginia and Vermont enrollments
229 clinicians in this Medicare group

NPI 1013303080 (972) 449-0540

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 19

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 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.

953 services546 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

323 services159 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.

263 services226 patients

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.

192 services183 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

189 services189 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

173 services119 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

126 services125 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

92 services91 patients

Needle measurement of electrical activity in arm or leg muscles, limited study 95885

This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.

84 services81 patients

Nerve conduction, 7-8 studies 95910

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.

56 services55 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

52 services50 patients

Measurement of brain wave activity (eeg), awake and asleep 95819

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

40 services40 patients

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426

A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.

39 services38 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.

35 services35 patients

Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427

A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.

31 services31 patients

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.

29 services19 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

23 services23 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

17 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 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100002

Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County

Emergency services Birthing friendly

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100168

Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County

Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100258

Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County

Emergency services

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 6

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

DR. JAMES MICHAEL COCHRAN M.D., PH.D

Specialist

1601 CLINT MOORE ROAD, SUITE 120
BOCA RATON, FL 33487

Palm Beach County (561) 939-0300

DR. MARC H. FEINBERG M.D.

Specialist

1601 CLINT MOORE ROAD, SUITE 120
BOCA RATON, FL 33487

Palm Beach County (561) 939-0300

DAVID SCHWARTZWALD MD PA

Urology

1601 CLINT MOORE ROAD, #195
BOCA RATON, FL 33487

Palm Beach County (561) 939-0700

BOCA RATON OPEN IMAGING CENTER LLC

Radiology (Diagnostic Radiology)

1601 CLINT MOORE ROAD, SUITE 140
BOCA RATON, FL 33487

Palm Beach County (561) 939-0850

BOCA RATON OPEN IMAGING CENTER LLC

Clinic/Center (Radiology)

1601 CLINT MOORE ROAD, SUITE 140
BOCA RATON, FL 33487

Palm Beach County (561) 939-0850

DR. ROY C KATZIN M.D.

Psychiatry & Neurology (Neurology)

1601 CLINT MOORE ROAD, SUITE 120
BOCA RATON, FL 33487

Palm Beach County (561) 939-0300

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 Blumenthal's NPI number?

The NPI number for Scott Blumenthal is 1922199843. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Scott Blumenthal located?

Scott Blumenthal practices at 1601 Clint Moore Road Suite 120, Boca Raton, FL 33487. The listed phone number is (561) 939-0300.

What is Scott Blumenthal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Scott Blumenthal enrolled in Medicare?

Yes. Scott Blumenthal 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.

Which organizations bill Medicare for Scott Blumenthal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Blumenthal reassigns Medicare benefits to 2 organizations: South Florida Neurology Associates PA (Boca Raton, FL) and Access Telecare, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Blumenthal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Blumenthal accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Florida Blue (BlueCross BlueShield FL) list Scott Blumenthal 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 Blumenthal affiliated with any hospitals?

According to CMS data, Scott Blumenthal is affiliated with Bethesda Hospital Inc, Boca Raton Regional Hospital and Delray Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Blumenthal was last updated on November 17, 2016. 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.