JON SCOTT ULOTH (M.D.) – Family Medicine Physician, NPI 1073598330
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JON SCOTT ULOTH (M.D.)
340 Starlite Dr
Henderson, KY 424206102
Phone: (270) 215-3150
Fax: (812) 858-2020
Type: Location
2100 N Fulton Ave
Evansville, IN 477102842
Phone: (812) 435-0977
Fax: (812) 435-8856
Type: Location
2000 Lodge Ave
Evansville, IN 477144261
Phone: (812) 435-0977
Type: Location
901 Sweetser Ave
Evansville, IN 477132831
Phone: (812) 435-0977
Type: Location
Evansville Post office, 402, Water Street, Evansville, Rock County, Wisconsin, 53536, United States
EVANSVILLE, IN 477061510
Phone: (812) 435-0977
Fax: (812) 450-6288
Type: Mailing
3711 CASEY RD
NEWBURGH, IN 476308343
Phone: (812) 490-1122
Fax: (812) 490-1123
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-05-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100517000655 | I | Family Practice | IN | TBD |
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.
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 42420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Family Practice | MI | |
| Family Practice | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | TN | |
| Nurse Practitioner | IN | |
| Physician Assistant | OH | |
| Internal Medicine, Geriatric Medicine | IN | |
| Nurse Practitioner | ME |
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