DR. RANDALL SCOTT (D.O.) – Family Medicine Physician, NPI 1619138658

DR. RANDALL SCOTT (D.O.) is a healthcare provider. based in Jacksonville, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OS 11177 (FL). The NPI Number for DR. RANDALL SCOTT (D.O.) is 1619138658

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDALL SCOTT (D.O.)
NPI
1619138658
Phone
(904) 282-6331
Address
7855 ARGYLE FOREST BLVD
Enumeration Date
23 June 2008
Last Update Date
21 September 2022

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
9046210247
Graduation Year
2008 (18 years ago)
PAC ID
6406034586
Group Practice PAC ID
3375885890
Professional Enrollment ID
I20110620000124
Address ID
FL320439371GR3189X17XX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. RANDALL SCOTT (D.O.)

  • 7855, Argyle Forest Boulevard, Jacksonville, Duval County, Florida, 32244, United States

    SUITE 101

    JACKSONVILLE, FL 322445597

    Phone: (904) 282-6331

    Fax: (904) 619-1080

    Type: Mailing

  • 3189 HIGHWAY 17

    GREEN COVE SPRINGS, FL 320439371

    Phone: (904) 621-0247

    Fax: (904) 339-9945

    Type: Mailing

  • Green Cove Springs, Clay County, Florida, United States

    GREEN COVE SPRINGS, FL 320439371

    Phone: (904) 621-0643

    Fax: (904) 621-0644

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $765.

Total Amount is formed as General ($765) + Research ($0) + Ownership ($0) = $765.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($138).

Total Amount

$765

General + Research + Ownership

Payments

37

Total payment records

General Amount

$765

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110620000124IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg24312$0
36415Insertion of needle into vein for collection of blood sample16987$0
99214Established patient office or other outpatient visit, 30-39 minutes14673$0
99213Established patient office or other outpatient visit, 20-29 minutes7843$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4646$0
View full utilization report →

Insurance plans in this area (ZIP 32244)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375885890View full group profile
NameSpecialtyState
Nurse PractitionerTN

Reviews

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Frequently asked questions

Is there an official ID for DR. RANDALL SCOTT (D.O.) in U.S. healthcare records?
The official identifier for DR. RANDALL SCOTT (D.O.) is NPI 1619138658.
Would DR. RANDALL SCOTT (D.O.) appear as active to a payer?
You can treat DR. RANDALL SCOTT (D.O.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. RANDALL SCOTT (D.O.)?
DR. RANDALL SCOTT (D.O.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. RANDALL SCOTT (D.O.) associated with Jacksonville?
Public fields place DR. RANDALL SCOTT (D.O.) around Jacksonville, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. RANDALL SCOTT (D.O.) is noted as June 23, 2008 where the registry provides it.

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