Active NPI 1043201247 Individual Practitioner Male Practitioner

Dr. Stephen Donald Scoggin , MD

Surgery • Brownwood, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Scoggin, MD is a certified Surgery practicing in Brownwood, TX. With approximately 39 years of clinical experience since graduating from University Of Texas Medical School At Houston in 1987, Dr. Scoggin delivers high-quality medical care to the local community at 125 S PARK DR STE A.

Dr. Scoggin maintains professional affiliations with Dhhs Phs Naihs Chinle Comprehensive Health Care Facility, Gpch Llc, Pecos County Memorial Hospital District and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

125 S Park Dr Ste A

Brownwood, TX 768015952

Telephone 3256460400

Fax 3256431401

Associated Practice Facility / Clinic

🏢 Hendrick Medical Center Facility NPI 1861498735

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Brownwood, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +5.0 yrs vs City Avg

City Avg: 34.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Brownwood, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Scoggin (39 Years) 39 Yrs

Brownwood Specialty Average (34.0 Years) 34.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$160.65	$54.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	20	$252.00	$68.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	27	$155.00	$54.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	11	$137.00	$37.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$564.00	$162.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$700.00	$191.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$370.00	$103.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	11	$77.00	$20.95
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	14	14	$918.50	$168.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	41	$115.71	$55.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	17	$203.44	$70.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$445.64	$161.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	14	$283.05	$101.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$553.61	$196.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$283.00	$110.45
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$1309.00	$180.28
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$809.00	$76.73
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$196.00	$71.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	16	$194.00	$72.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	13	$129.00	$39.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$545.00	$202.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$114.00	$42.46
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$192.00	$73.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	44	$114.00	$43.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	24	$194.00	$70.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$438.00	$156.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	17	$129.00	$38.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$545.00	$196.68
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$192.00	$71.45
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	19	$1309.00	$189.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$283.00	$104.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$283.00	$104.31
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$809.00	$68.26
76000 Imaging guidance for procedure, 60 minutes or less	12	12	$23.00	$15.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	62	$114.00	$41.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$438.00	$156.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	28	$194.00	$71.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$545.00	$197.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$809.00	$72.69
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	23	23	$1309.00	$172.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	15	$129.00	$38.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$283.00	$104.05
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$192.00	$70.23
76000 Imaging guidance for procedure, 60 minutes or less	16	16	$23.00	$8.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$283.00	$103.80
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$1107.00	$185.55
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	12	12	$51.00	$17.92
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2057.00	$698.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	87	$125.07	$40.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$473.09	$152.62
45378 Diagnostic exam of large bowel using a flexible endoscope	37	37	$1117.20	$177.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$309.26	$100.40
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	30	30	$1336.08	$155.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$309.84	$100.36
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$1150.47	$87.15
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$208.11	$67.84
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$212.93	$69.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$56.70	$18.58

Medical Specialties & State Licenses

CMS Verified: 2021-03-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX H4685

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

122261407 (TX)

Hospital & Practice Group Affiliations

Southeast Alaska Regional Health Consortium

222 Tongass Dr, Sitka, AK 998359416

Phone: 9079662411

Gpch Llc

50 Medical Plz, Borger, TX 790074406

Phone: 8064675350

Southeast Alaska Regional Health Consortium

1209 Seward Ave, Sitka, AK 998357359

Phone: 9079668611

Southeast Alaska Regional Health Consortium

1206 Seward Ave, Sitka, AK 998357359

Phone: 9079668611

Pecos County Memorial Hospital District

387 W Ih, Fort Stockton, TX 79735

Phone: 4323362058

Dhhs Phs Naihs Chinle Comprehensive Health Care Facility

Highway 191 And Hospital Rd, Chinle, AZ 865038000

Phone: 92867470307030

Southeast Alaska Regional Health Consortium

227 Tongass Dr, Sitka, AK 998359416

Phone: 9079662411

Southeast Alaska Regional Health Consortium

1204 Seward Ave, Sitka, AK 998357359

Phone: 9079668611

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Andrew Thibodeaux , DO

Internal Medicine - Interventional Cardiology

NPI 1073886875

Doctor of Osteopathic Medicine (D.O.)

Lesley Stone , APRN-CNP, FNP-C

Nurse Practitioner - Family

NPI 1093432973

Advanced Practice Registered Nurse - Certified Nurse Practitioner, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 29, 2021

Registered at 125 S PARK DR STE A, BROWNWOOD, TX 768015952 (Tel: 3256460400)

📍

Updated Business Mailing Address March 29, 2021

Registered at PO BOX 1198, ABILENE, TX 796041198 (Tel: 3256704372)

✅

NPI Profile Active September 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2011

Registered at 200 COUNTY ROAD 340A, BLDG III, SUITE A, BURNET, TX 786114537 (Tel: 5127153046)

📍

Updated Business Mailing Address September 08, 2011

Registered at PO BOX 1219, BURNET, TX 786117219 (Tel: 5127153000)

👤

Provider Name / Credentials Updated September 08, 2011

Recorded as STEPHEN SCOGGIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2011

Surgery (License #H4685 in TX)

🟢

Initial NPI Registration & Enumeration November 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1043201247

Entity Type:

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

Enumeration Date: November 04, 2005

Last Update: March 29, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1198

Abilene, TX 796041198

Phone: 3256704372

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.