DR. SCOTT TYRUS WASHBURN (MD) – Family Medicine Physician, NPI 1215491337

DR. SCOTT TYRUS WASHBURN (MD) is a healthcare provider. based in Ozark, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01094263A (IN). The NPI Number for DR. SCOTT TYRUS WASHBURN (MD) is 1215491337

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT TYRUS WASHBURN (MD)
NPI
1215491337
Phone
(417) 317-5330
Address
5571 N 21ST ST
Enumeration Date
23 January 2019
Last Update Date
27 August 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8126626450
Graduation Year
2017 (9 years ago)
PAC ID
5597167379
Group Practice PAC ID
7315837671
Professional Enrollment ID
I20240920002090
Address ID
IN472401487GR955XXAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for DR. SCOTT TYRUS WASHBURN (MD)

  • 5571, North 21st Street, Ozark, Christian County, Missouri, 65721, United States

    OZARK, MO 657217488

    Phone: (417) 317-5330

    Fax: (417) 763-3370

    Type: Mailing

  • 701 W 5TH ST STE 1229

    ODESSA, TX 797634206

    Phone: (432) 703-5089

    Fax: (432) 335-5332

    Type: Mailing

  • 2329 N BROADWAY ST APT 7

    GREENSBURG, IN 472406266

    Phone: (812) 209-8911

    Type: Mailing

  • 955 N MICHIGAN AVE

    GREENSBURG, IN 472401487

    Phone: (812) 222-3627

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Lilly USA, LLC ($53).

Total Amount

$201

General + Research + Ownership

Payments

11

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2024-09-20

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
I20240920002090IFamily PracticeINTBD

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 65721)

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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: 7315837671View full group profile
NameSpecialtyState
-IN
Diagnostic RadiologyIN
-IN
-IN
Nurse PractitionerIN
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)WV
Nurse PractitionerIN
Diagnostic RadiologyIN
Nurse PractitionerIN
Diagnostic RadiologyIN

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SCOTT TYRUS WASHBURN (MD)?
NPI 1215491337 is assigned to DR. SCOTT TYRUS WASHBURN (MD) under the national enumeration system.
Is DR. SCOTT TYRUS WASHBURN (MD)'s NPI currently valid?
The extract we use shows DR. SCOTT TYRUS WASHBURN (MD) as active.
What kind of provider is DR. SCOTT TYRUS WASHBURN (MD)?
The page reflects Family Medicine Physician for DR. SCOTT TYRUS WASHBURN (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SCOTT TYRUS WASHBURN (MD)?
The page summarizes Ozark, Missouri for DR. SCOTT TYRUS WASHBURN (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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