Scott Eisman, M.D.
NPI 1275511420 · Pulmonary Disease Physician · Encinitas, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scott Eisman, M.D. is a Pulmonary Disease Physician provider in Encinitas, CA (NPI 1275511420).
Provider details
- NPI number
- 1275511420
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G54742 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
487 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 334 | $121 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 153 | $176 |
Typical Medicare-allowed amounts for these services range $121–$176 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$46 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 326 Santa Fe Dr Ste 100Encinitas, CA 92024-5157Phone: (760) 230-8994Fax: (760) 944-1309
- 2067 W Vista Way Ste 160Vista, CA 92083-6032Phone: (760) 230-8994Fax: (760) 944-1309
Registry dates
- Enumerated
- 2006-01-06
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Frequently asked questions
- What is Scott Eisman's NPI number?
- Scott Eisman's National Provider Identifier (NPI) is 1275511420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Eisman's specialty?
- Scott Eisman is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Scott Eisman located?
- Scott Eisman's practice location on file with NPPES is 354 Santa Fe Dr, Encinitas, CA 92024-5142.
- What is Scott Eisman's phone number?
- The practice phone number listed in the NPPES registry for Scott Eisman is (760) 943-8806.
- Does Scott Eisman accept Medicare?
- Scott Eisman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Scott Eisman's NPI active?
- Yes — Scott Eisman's NPI (1275511420) is active in the NPPES registry as of the last update on 2025-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.