COURTNEY L. SCANLON MD
NPI 1932635562
Family Medicine in Providence, RI

Active since May 02, 2017PECOS Enrolled
355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0570(401) 444-0427 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2025, Dec 13, 2023, Oct 25, 2022 and 1 more (4 updates tracked since 2020).

About Courtney L. Scanlon Md NPPES

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

COURTNEY L. SCANLON MD (NPI 1932635562) is an individual family medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD18765) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932635562
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCOURTNEY L. SCANLONCredential: MD
Location Address355 PRAIRIE AVEProvidence, RI 02905-1928
Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400
Fax(401) 444-0427
Sole ProprietorNo
Enumeration DateMay 2, 2017
Last NPPES UpdateSeptember 18, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
NPI 1932635562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in RI · MD18765 Licensed in MA · 283045
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.
355 PRAIRIE AVE, Providence, RI 02905

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Courtney L. Scanlon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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.

Family Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor (Mental Health)
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Pediatrics
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Internal Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Registered Nurse (Diabetes Educator)
355 PRAIRIE AVE
PROVIDENCE, RI 02905

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 Courtney Scanlon's NPI number?

The NPI number for Courtney Scanlon is 1932635562. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Where is Courtney Scanlon located?

Courtney Scanlon practices at 355 Prairie Ave, Providence, RI 02905. The listed phone number is (401) 444-0570.

What is Courtney Scanlon's specialty?

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

Is Courtney Scanlon enrolled in Medicare?

Yes. Courtney Scanlon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Scanlon was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.