Scott Arbaugh, M.D.
NPI 1861553513 · Psychiatry Physician · O Fallon, MO
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scott Arbaugh, M.D. is a Psychiatry Physician provider in O Fallon, MO (NPI 1861553513).
Provider details
- NPI number
- 1861553513
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036-078716 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
1,453 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,284 | $74 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 81 | $86 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 49 | $101 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 39 | $144 |
Typical Medicare-allowed amounts for these services range $74–$144 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 70 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sertraline Hcl | 918 | 209 |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 775 | 178 |
| Trazodone Hcl | 734 | 170 |
| Escitalopram Oxalate | 632 | 129 |
| Duloxetine Hcl | 596 | 122 |
| Alprazolam | 549 | 97 |
| Donepezil Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$38,300 across 196 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
- 2006-12-13
- Last updated
- 2016-11-08
Frequently asked questions
- What is Scott Arbaugh's NPI number?
- Scott Arbaugh's National Provider Identifier (NPI) is 1861553513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Arbaugh's specialty?
- Scott Arbaugh is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Scott Arbaugh located?
- Scott Arbaugh's practice location on file with NPPES is 9979 Winghaven Blvd, O Fallon, MO 63368-3628.
- What is Scott Arbaugh's phone number?
- The practice phone number listed in the NPPES registry for Scott Arbaugh is (636) 695-4554.
- Does Scott Arbaugh accept Medicare?
- Scott Arbaugh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Scott Arbaugh's NPI active?
- Yes — Scott Arbaugh's NPI (1861553513) is active in the NPPES registry as of the last update on 2016-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.