Dr Scott Alan Deruiter, MD - Medicare Family Practice in Pueblo, CO

Dr Scott Alan Deruiter, MD is a medicare enrolled "Family Medicine" physician in Pueblo, Colorado. He went to Michigan State University College Of Human Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern Colorado Clinic Pc and his current practice location is 109 S Burlington Dr, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 553-2205.

Dr Scott Alan Deruiter is licensed to practice in Colorado (license number 43016) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093777658.

Contact Information

Dr Scott Alan Deruiter, MD
109 S Burlington Dr,
Pueblo, CO 81007-5560
(719) 553-2205
(833) 314-0183

Map and Direction




Physician's Profile

Full NameDr Scott Alan Deruiter
GenderMale
SpecialityFamily Practice
Experience23 Years
Location109 S Burlington Dr, Pueblo, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Scott Alan Deruiter attended and graduated from Michigan State University College Of Human Medicine in 2001
  NPI Data:
  • NPI Number: 1093777658
  • Provider Enumeration Date: 04/06/2006
  • Last Update Date: 03/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9739137266
  • Enrollment ID: I20050111000642

Medical Identifiers

Medical identifiers for Dr Scott Alan Deruiter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093777658NPI-NPPES
59626569MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 43016 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Colorado Clinic Pc428452406734

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Scott Alan Deruiter allows following entities to bill medicare on his behalf.
Entity NameSouthern Colorado Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613554
PECOS PAC ID: 4284524067
Enrollment ID: O20040316001277

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Scott Alan Deruiter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Scott Alan Deruiter, MD
Po Box 9000,
Pueblo, CO 81008-9000

Ph: (719) 553-2200
Dr Scott Alan Deruiter, MD
109 S Burlington Dr,
Pueblo, CO 81007-5560

Ph: (719) 553-2205

Reviews and Comments


Family Medicine Doctors in Pueblo, CO

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Phone: 719-543-1130    Fax: 719-561-2764

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.