SCOTT M DE LA GARZA MD
NPI 1972565778
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Oklahoma City, OK

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
85.7/100
CMS Quality Rating
1110 N LEE AVE STE 200, OKLAHOMA CITY, OK 73103(405) 218-2530(405) 218-2535 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott M De La Garza Md NPPES

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

SCOTT M DE LA GARZA MD (NPI 1972565778) is an individual orthopaedic surgery of the spine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (21981) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2000).

NPPES Registry Identity

NPI1972565778
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameSCOTT M DE LA GARZACredential: MD
Location Address1110 N LEE AVE STE 200Oklahoma City, OK 73103-2612
Mailing Address1110 N Lee Ave Ste 200Oklahoma City, OK 73103-2612 · (405) 218-2530 · Fax (405) 218-2535
Fax(405) 218-2535
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2000
Enumeration DateApril 5, 2006
Last NPPES UpdateJune 16, 2023
NPPES CertifiedJune 16, 2023
NPI 1972565778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in OK · 21981
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 21981 (OK)
1110 N LEE AVE STE 200, Oklahoma City, OK 73103

Other Identifiers 1

Medicaid200092790AOK

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

Scott M De La Garza 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 ID5092740852
PECOS Enrollment IDI20070215000713
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 23

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,630 services102 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.
480 services284 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
317 services256 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
272 services101 patients
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.
203 services185 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
156 services100 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Purcell Municipal Hospital

Acute Care Hospitals · Purcell, OK
OwnershipGovernment - Local
CMS Certification Number370158
Location2301 N 9th AvePurcell, OK 73080 · Mcclain 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.

85.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.33
Promoting Interoperability100
Improvement Activities40
Cost62.01

Referred Medical Equipment & Supplies CMS DME claims 2

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier15 claims16 services$68.23 avg. paid by Medicare
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0642
DME-Orthotic Devices · category DF007N
1 supplier15 claims15 services$186.03 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 7

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

Durable Medical Equipment & Medical Supplies
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103
Orthopaedic Surgery (Foot and Ankle Surgery)
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103
Family Medicine (Sports Medicine)
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103
Orthopaedic Surgery (Hand Surgery)
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103

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 De La Garza's NPI number?

The NPI number for Scott De La Garza is 1972565778. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Scott De La Garza located?

Scott De La Garza practices at 1110 N Lee Ave Ste 200, Oklahoma City, OK 73103. The listed phone number is (405) 218-2530.

What is Scott De La Garza's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Scott De La Garza enrolled in Medicare?

Yes. Scott De La Garza 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 De La Garza accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Scott De La Garza 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 De La Garza affiliated with any hospitals?

According to CMS data, Scott De La Garza is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, Ssm Health St Anthony Hospital - Shawnee and Purcell Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Scott De La Garza was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.