Scott Pethke, M.D.
NPI 1609828094 · Pulmonary Disease Physician · Augusta, GA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scott Pethke, M.D. is a Pulmonary Disease Physician provider in Augusta, GA (NPI 1609828094).
Provider details
- NPI number
- 1609828094
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 66307 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,115 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 35 Minutes99232 | 663 | $74 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 371 | $118 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 231 | $112 |
| Test to Measure Expiratory Airflow and Volume94010 | 202 | $24 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 199 | $49 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 113 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 393 | 89 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 206 | 45 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 205 | 71 |
| Prednisone | 163 | 87 |
| Azelastine Hcl | 128 | 56 |
| Azithromycin | 78 | 45 |
| Fluticasone/Vilanterolbrand: Breo Ellipta |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,650 across 109 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
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Frequently asked questions
- What is Scott Pethke's NPI number?
- Scott Pethke's National Provider Identifier (NPI) is 1609828094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Pethke's specialty?
- Scott Pethke is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Scott Pethke located?
- Scott Pethke's practice location on file with NPPES is 1301 Broad St, Augusta, GA 30901-1055.
- What is Scott Pethke's phone number?
- The practice phone number listed in the NPPES registry for Scott Pethke is (706) 922-5864.
- Does Scott Pethke accept Medicare?
- Scott Pethke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Scott Pethke's NPI active?
- Yes — Scott Pethke's NPI (1609828094) is active in the NPPES registry as of the last update on 2025-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.