SCOTT D KNOX (PA) – Surgical Physician Assistant, NPI 1366591646

SCOTT D KNOX (PA) is a healthcare provider. based in Glen carbon, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085000439 (IL). The NPI Number for SCOTT D KNOX (PA) is 1366591646

Main info

Male
36 Years Of Experience
Name
SCOTT D KNOX (PA)
NPI
1366591646
Phone
(618) 288-4388
Address
4802 S STATE ROUTE 159
Enumeration Date
9 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189311335
Graduation Year
1990 (36 years ago)
PAC ID
1052374485
Group Practice PAC ID
5496111676
Professional Enrollment ID
I20041108000231
Address ID
IL620404179GR3912XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for SCOTT D KNOX (PA)

  • South State RT 159, Glen Carbon, Madison County, Illinois, 62034, United States

    GLEN CARBON, IL 620341904

    Phone: (618) 288-4388

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Smith+Nephew, Inc. ($25).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

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: 2004-11-08

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
I20041108000231IPhysician AssistantILTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg8227$0
20610Aspiration and/or injection of fluid from large joint4432$0
99213Established patient office or other outpatient visit, 20-29 minutes1513$0
73562X-ray of knee, 3 views1414$0
View full utilization report →

Insurance plans in this area (ZIP 62034)

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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: 5496111676View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineIL
Nurse PractitionerIL
Nurse PractitionerMO
Internal MedicineIL
Internal MedicineMI
Internal MedicineIL
Internal MedicineIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What unique ID ties claims to SCOTT D KNOX (PA)?
NPI 1366591646 is assigned to SCOTT D KNOX (PA) under the national enumeration system.
Is SCOTT D KNOX (PA)'s NPI currently valid?
The extract we use shows SCOTT D KNOX (PA) as active.
What kind of provider is SCOTT D KNOX (PA)?
The page reflects Surgical Physician Assistant for SCOTT D KNOX (PA). Clinical services aligned with this taxonomy classification.
Does SCOTT D KNOX (PA) practice in Illinois?
You will see Glen Carbon, Illinois on file for SCOTT D KNOX (PA) alongside any extra practice locations.
Is SCOTT D KNOX (PA) a real provider?
This page reflects official NPPES data for NPI 1366591646. Always confirm identity and privileges with the practice and licensing boards.

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