QUINCY O SCOTT (D.O.) – Family Medicine Physician, NPI 1992781710

QUINCY O SCOTT (D.O.) is a healthcare provider. based in West frankfort, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 036-084940 (IL). The NPI Number for QUINCY O SCOTT (D.O.) is 1992781710

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
QUINCY O SCOTT (D.O.)
NPI
1992781710
Phone
(618) 932-3937
Address
2553 Ken Gray Blvd
Enumeration Date
22 December 2005
Last Update Date
28 December 2020

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6185366621
Graduation Year
1990 (36 years ago)
PAC ID
4587794946
Group Practice PAC ID
4486667888
Professional Enrollment ID
I20100610000772
Address ID
IL629011413CA300XXSTXX400

Contacts

Secure Messaging
quincyscott@siusm.allscriptsdirect.net
Secure Messaging
qscott15462@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for QUINCY O SCOTT (D.O.)

  • 2553 Ken Gray Blvd

    West Frankfort, IL 628964174

    Phone: (618) 932-3937

    Fax: (618) 932-2734

    Type: Location

  • 305, West Jackson Street, Carbondale, Jackson County, Illinois, 62901, United States

    SUITE 200

    CARBONDALE, IL 629011474

    Phone: (618) 536-6621

    Fax: (618) 453-1102

    Type: Mailing

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 $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-01-28 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($247).

Total Amount

$247

General + Research + Ownership

Payments

2

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-28

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: 2010-06-10

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
I20100610000772IFamily PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62896)

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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: 4486667888View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Physician AssistantIL
Family PracticeIL
Registered Dietitian Or Nutrition ProfessionalIL
Clinical Social WorkerIL
Nurse PractitionerIL
Mental Health CounselorIL
-IL
Internal MedicineOK
Family PracticeIL

Reviews

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Frequently asked questions

How do I look up QUINCY O SCOTT (D.O.) by NPI?
Use NPI 1992781710 when you need to reference QUINCY O SCOTT (D.O.) in forms, claims, or directories.
Does this profile mean QUINCY O SCOTT (D.O.) is currently active?
Yes — QUINCY O SCOTT (D.O.) appears active in the national provider directory.
What does QUINCY O SCOTT (D.O.) treat or focus on?
Patients typically see QUINCY O SCOTT (D.O.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for QUINCY O SCOTT (D.O.)?
We surface West Frankfort, Illinois for QUINCY O SCOTT (D.O.) based on available NPPES addresses.
What if West Frankfort, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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