LARRY A SCROGGINS (MD) – Emergency Medicine Physician, NPI 1396739629

LARRY A SCROGGINS (MD) is a healthcare provider. based in Columbia, Missouri. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. R8J18 (MO). The NPI Number for LARRY A SCROGGINS (MD) is 1396739629

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
LARRY A SCROGGINS (MD)
NPI
1396739629
Phone
(573) 815-3573
Address
1600 E BROADWAY
Enumeration Date
1 September 2005
Last Update Date
20 March 2014

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
6363271000
Graduation Year
1988 (38 years ago)
PAC ID
4880793488
Group Practice PAC ID
6608056171
Professional Enrollment ID
I20100719000337
Address ID
MO633853421WE500XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

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Provider Addresses for LARRY A SCROGGINS (MD)

  • Boone Hospital Center, 1600, East Broadway, Strollway, Columbia, Boone County, Missouri, 65201, United States

    COLUMBIA, MO 652015844

    Phone: (573) 815-3573

    Fax: (888) 525-2454

    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)

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: 2010-07-19

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
I20100719000337IEmergency MedicineMOTBD

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 65201)

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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: 6608056171View full group profile
NameSpecialtyState
Emergency MedicineMI
Physician AssistantMI
Emergency MedicineWI
Emergency MedicineNH
Family Practice, Emergency MedicineNC
Physician AssistantOR
Emergency MedicineIL
Emergency MedicineIN
Emergency MedicineTN
-OR

Reviews

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Frequently asked questions

Does LARRY A SCROGGINS (MD) have a public NPI I can cite?
Public records show LARRY A SCROGGINS (MD) under NPI 1396739629.
Is LARRY A SCROGGINS (MD)'s NPI status active today?
Active status means LARRY A SCROGGINS (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits LARRY A SCROGGINS (MD)?
NPPES ties LARRY A SCROGGINS (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LARRY A SCROGGINS (MD)?
LARRY A SCROGGINS (MD) is associated with Columbia, Missouri in the same public data insurers reference.
Who maintains LARRY A SCROGGINS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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