MICHAEL D SCOTT PA-C NPI 1114007028

NPI Information

NPI: 1114007028
Provider Name: MICHAEL D SCOTT, PA-C
Classification: Physician Assistant - 363AS0400X
Specialization: Surgical
Entity Type: Individual
PECOS Registration: Yes
Address: 4017 RAWLINS ST
CHEYENNE, WY
ZIP 82001
Phone: (307) 635-2562

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NPI Details

Michael D Scott, PA-C is a surgical physician assistant in Cheyenne, WY with 36 years of experience. Michael D Scott, PA-C NPI is 1114007028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4017 RAWLINS ST
CHEYENNE, WY
ZIP 82001-800
Phone: (307) 635-2562
Fax: (307) 637-2867

The NPI 1114007028 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
Aspiration and/or injection of fluid from large joint (HCPCS:20610)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Replacement of knee joint, both sides of knee (HCPCS:27447)
Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
X-ray of shoulder, minimum of 2 views (HCPCS:73030)
X-ray of knee, 3 views (HCPCS:73562)

The enumeration date for this NPI number is 10/16/2006 and was last updated on 11/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA208	WYOMING	No
2	363AS0400X	Physician Assistant	Surgical	PA-2238	COLORADO	No
3	363AS0400X	Physician Assistant	Surgical	208	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	970026026	OTHER	WYOMING	RAIL ROAD MEDICARE
2	111303800	MEDICAID	WYOMING
3	311196	OTHER	WYOMING	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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