DR. SCOTT SIDNEY HARRIS (MD) – General Practice Physician, NPI 1740402858

DR. SCOTT SIDNEY HARRIS (MD) is a healthcare provider. based in Detroit lakes, Minnesota. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 5107 (ND). The NPI Number for DR. SCOTT SIDNEY HARRIS (MD) is 1740402858

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT SIDNEY HARRIS (MD)
NPI
1740402858
Phone
(218) 863-2000
Address
1027 WASHINGTON AVE
Enumeration Date
2 May 2007
Last Update Date
12 November 2012

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
2186341655
Graduation Year
1979 (47 years ago)
PAC ID
5890835334
Group Practice PAC ID
5698687929
Professional Enrollment ID
I20190805002641
Address ID
MN566232855BA600XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,171 EMERGENCY MEDICINE in MN

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Provider Addresses for DR. SCOTT SIDNEY HARRIS (MD)

  • Essentia Health Saint Mary's - Detroit Lakes, 1027, Washington Avenue, Detroit Lakes, Becker County, Minnesota, 56501, United States

    DETROIT LAKES, MN 565013409

    Phone: (218) 863-2000

    Fax: (218) 847-0881

    Type: Mailing

  • 301, North Broadway, Pelican Rapids, Otter Tail County, Minnesota, 56572, United States

    PELICAN RAPIDS, MN 565724113

    Phone: (218) 863-2000

    Fax: (218) 847-0881

    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: 2019-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20091215000186IGeneral SurgeryNDTBD
I20190805002641IEmergency MedicineMNTBD

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 56501)

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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: 5698687929View full group profile
NameSpecialtyState
Physician AssistantMN
-WI
Family PracticeMN
Physician AssistantMN
General SurgeryMN
Physician AssistantMN
Family PracticeMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What federal number belongs to DR. SCOTT SIDNEY HARRIS (MD)?
The federal identifier for DR. SCOTT SIDNEY HARRIS (MD) is NPI 1740402858.
Does this profile mean DR. SCOTT SIDNEY HARRIS (MD) is currently active?
Yes — DR. SCOTT SIDNEY HARRIS (MD) appears active in the national provider directory.
What kind of provider is DR. SCOTT SIDNEY HARRIS (MD)?
The page reflects General Practice Physician for DR. SCOTT SIDNEY HARRIS (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. SCOTT SIDNEY HARRIS (MD)?
We surface Detroit Lakes, Minnesota for DR. SCOTT SIDNEY HARRIS (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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