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

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: July 26, 2026.

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
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

Other Identifiers 2

Medicare PIN99446FL
Medicare UPINI16327FL

Accepted 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

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.

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

Hospital Affiliations CMS Care Compare 4

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

West Boca Medical Center

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100268
Location21644 State Rd 7Boca Raton, FL 33428 · Palm Beach 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.

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.

Specialist
1601 CLINT MOORE ROAD, SUITE 120
BOCA RATON, FL 33487
Specialist
1601 CLINT MOORE ROAD, SUITE 120
BOCA RATON, FL 33487
Urology
1601 CLINT MOORE ROAD, #195
BOCA RATON, FL 33487
Radiology (Diagnostic Radiology)
1601 CLINT MOORE ROAD, SUITE 140
BOCA RATON, FL 33487
Clinic/Center (Radiology)
1601 CLINT MOORE ROAD, SUITE 140
BOCA RATON, FL 33487
Psychiatry & Neurology (Neurology)
1601 CLINT MOORE ROAD, SUITE 120
BOCA RATON, FL 33487

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.

What insurance does Scott Blumenthal accept?

Health plans from AvMed, 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, Delray Medical Center and West Boca 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 with the weekly NPPES data releases published by CMS.