Active NPI 1972506160 Individual Practitioner Male Practitioner

Dr. John D Scala , MD

Internal Medicine • Centennial, CO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Scala, MD is a certified Internal Medicine practicing in Centennial, CO. With approximately 31 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1995, Dr. Scala delivers high-quality medical care to the local community at 13111 E BRIARWOOD AVE STE 210.

Dr. Scala is affiliated with Scala Medical Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13111 E Briarwood Ave Ste 210

Centennial, CO 801123846

Telephone 7204630010

Fax 3035932120

Associated Practice Facility / Clinic

🏢 Scala Medical Pc Facility NPI 1992223184

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Centennial, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -2.1 yrs vs City Avg

City Avg: 33.1 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

25 Specialists

Practicing in Centennial, CO (2124 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

26.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Scala (31 Years) 31 Yrs

Centennial Specialty Average (33.1 Years) 33.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	73	$175.00	$128.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	92	92	$180.00	$130.33
G0008 Administration of influenza virus vaccine	40	40	$45.00	$32.58
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$130.00	$91.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	30	$230.00	$176.52
90662 Influenza vaccine split virus, preservative free	32	32	$100.00	$81.82
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$26.00	$14.43
G0009 Administration of pneumococcal vaccine	17	17	$45.00	$32.58
99496 Transitional care management services for problem of high complexity	12	11	$358.00	$281.91
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$250.91	$165.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	63	$175.00	$128.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$180.83	$130.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	36	$230.00	$180.62
99213 Established patient office or other outpatient visit, typically 15 minutes	40	34	$130.00	$90.23
G0008 Administration of influenza virus vaccine	32	32	$45.00	$31.04
90662 Influenza vaccine split virus, preservative free	27	27	$100.00	$71.93
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$26.00	$14.63
G0009 Administration of pneumococcal vaccine	15	15	$45.00	$31.04
90671 Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use	12	12	$390.00	$241.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	70	$175.00	$127.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$180.58	$132.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	30	$230.00	$175.32
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$130.00	$89.22
G0008 Administration of influenza virus vaccine	35	35	$45.00	$30.23
90662 Influenza vaccine split virus, preservative free	34	34	$100.00	$68.54
G0009 Administration of pneumococcal vaccine	19	19	$45.00	$30.43
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$26.00	$14.01
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$150.00	$131.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	61	$175.00	$128.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$180.00	$135.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	38	$214.78	$182.52
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$121.66	$90.04
G0008 Administration of influenza virus vaccine	33	33	$45.00	$17.53
90662 Influenza vaccine split virus, preservative free	31	31	$100.00	$65.26
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$26.00	$14.19
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$150.00	$125.37
G0009 Administration of pneumococcal vaccine	11	11	$45.00	$17.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	60	$165.37	$109.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$180.00	$118.45
99213 Established patient office or other outpatient visit, typically 15 minutes	58	47	$112.00	$74.96
G0008 Administration of influenza virus vaccine	48	46	$45.00	$17.12
90662 Influenza vaccine split virus, preservative free	40	40	$100.00	$60.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	21	$203.00	$149.22
G0009 Administration of pneumococcal vaccine	25	24	$45.00	$17.09
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$26.00	$17.53
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$150.00	$119.92
90670 Pneumococcal vaccine for injection into muscle	12	12	$280.00	$224.80
81002 Urinalysis, manual test	11	11	$10.00	$3.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	71	$165.00	$110.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	67	67	$180.00	$118.02
99213 Established patient office or other outpatient visit, typically 15 minutes	66	46	$112.00	$75.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	35	$203.00	$147.87
G0008 Administration of influenza virus vaccine	39	39	$45.00	$16.80
90662 Influenza vaccine split virus, preservative free	32	32	$60.00	$54.89
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$26.00	$17.36
81002 Urinalysis, manual test	14	12	$10.00	$3.41
G0009 Administration of pneumococcal vaccine	13	13	$45.00	$16.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	84	$165.00	$108.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$180.00	$118.01
99213 Established patient office or other outpatient visit, typically 15 minutes	67	49	$112.00	$73.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	37	$190.29	$146.69
G0008 Administration of influenza virus vaccine	49	48	$45.00	$20.73
90662 Influenza vaccine split virus, preservative free	45	45	$60.00	$52.30
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$26.00	$17.22
G0009 Administration of pneumococcal vaccine	19	19	$45.00	$20.73
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$108.00	$105.59
99496 Transitional care management services for problem of high complexity	12	11	$358.00	$235.15
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$258.00	$168.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	128	$203.00	$108.21
99213 Established patient office or other outpatient visit, typically 15 minutes	114	89	$137.00	$72.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$321.00	$116.48
G0008 Administration of influenza virus vaccine	84	84	$69.00	$25.63
90662 Influenza vaccine split virus, preservative free	77	77	$93.00	$47.89
85610 Blood test, clotting time	51	11	$17.00	$5.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	27	$273.00	$145.79
81003 Automated urinalysis test	34	27	$10.00	$3.02
G0009 Administration of pneumococcal vaccine	22	22	$69.00	$25.63
90670 Pneumococcal vaccine for injection into muscle	21	21	$388.00	$187.71

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CO 48613

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 036096720

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

75734044 (CO)

Medicaid State Provider ID

036096720 (IL)

Hospital & Practice Group Affiliations

Scala Medical Pc

13111 E Briarwood Ave, Centennial, CO 801123846

Phone: 7202426600

Scala Medical Pc

13111 E Briarwood Ave, Centennial, CO 801123846

Phone: 7202426600

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active March 26, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 26, 2018

Registered at 13111 E BRIARWOOD AVE STE 210, CENTENNIAL, CO 801123846 (Tel: 7204630010)

📍

Updated Business Mailing Address March 26, 2018

Registered at PO BOX 4707, ENGLEWOOD, CO 801554707 (Tel: 7204630010)

👤

Provider Name / Credentials Updated March 26, 2018

Recorded as JOHN SCALA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2018

Internal Medicine (License #036096720 in IL)

✅

NPI Profile Active April 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 06, 2012

Registered at 10103 RIDGEGATE PKWY, #G21, LONETREE, CO 801245520 (Tel: 3037925200)

📍

Updated Business Mailing Address April 06, 2012

Registered at 4900 S MONACO ST, #210, DENVER, CO 802373486 (Tel: 3037925200)

👤

Provider Name / Credentials Updated April 06, 2012

Recorded as JOHN SCALA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2012

Internal Medicine (License #48613 in CO)

🟢

Initial NPI Registration & Enumeration May 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1972506160

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 23, 2005

Last Update: March 26, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4707

Englewood, CO 801554707

Phone: 7204630010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.