Scott S. Pengelly, PH.D.
NPI 1407978943ActiveIndividual· Psychologist, Clinical· Eugene, OR
Psychologist, Clinical (PH.D.) in Eugene, Oregon, licensed in OR, with an NPI issued in April 2007. Medicare paid $16,550 for services to 13 patients in 2024.
Overview
| NPI | 1407978943 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 4, 2007 |
| Last updated in NPPES | Aug 23, 2023 |
| Certified by provider | Aug 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 798 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 153 across 4 procedure codes |
| Paid by Medicare | $16,550 |
Education and affiliations
| Graduation year | 1974 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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