SCOTT LANDRY (M.D.) – Emergency Medicine Physician, NPI 1639196272

SCOTT LANDRY (M.D.) is a healthcare provider. based in Perryville, Missouri. specializing in INTERNAL MEDICINE, EMERGENCY MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036-103851 (IL). The NPI Number for SCOTT LANDRY (M.D.) is 1639196272

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT LANDRY (M.D.)
NPI
1639196272
Phone
(573) 547-2536
Address
434 N WEST ST
Enumeration Date
17 July 2006
Last Update Date
3 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5735472536
Graduation Year
1997 (29 years ago)
PAC ID
6002864311
Group Practice PAC ID
1153777826
Professional Enrollment ID
I20050104000214
Address ID
MO637751359PE434XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

4,202 INTERNAL MEDICINE in MO

Provider Addresses for SCOTT LANDRY (M.D.)

  • 434 N WEST ST

    PERRYVILLE, MO 637751359

    Phone: (573) 547-2536

    Fax: (573) 519-5347

    Type: Mailing

  • Barnes-Jewish St. Peters Hospital, 10, Hospital Drive, Saint Peters, Saint Charles County, Missouri, 63376, United States

    SAINT PETERS, MO 633761659

    Phone: (636) 916-9000

    Type: Location

  • 105, Eric Craig Court, Saint Peters, Saint Charles County, Missouri, 63376, United States

    SAINT PETERS, MO 633767588

    Phone: (636) 477-4981

    Type: Mailing

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: 2023-10-16

PECOS data refreshed: 2026-06-15

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
I20050104000214IInternal MedicineMOTBD
I20231016001476IEmergency MedicineILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making300292$0
99284Emergency department visit with moderate level of medical decision making6968$0
99291Critical care, first 30-74 minutes5453$0
View full utilization report →

Insurance plans in this area (ZIP 63775)

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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: 1153777826View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Nurse PractitionerMO
Diagnostic RadiologyTN
Nurse PractitionerMO
Nurse PractitionerMO
Emergency MedicineMO
Diagnostic RadiologyMO
Clinical Social WorkerMO
Interventional Radiology, Diagnostic RadiologyKS
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I verify SCOTT LANDRY (M.D.) with an NPI only?
You can start verification with NPI 1639196272 for SCOTT LANDRY (M.D.), then check state licensing separately.
Does the file indicate SCOTT LANDRY (M.D.) is practicing under active NPI?
Directory data currently reports SCOTT LANDRY (M.D.) as active.
What is SCOTT LANDRY (M.D.) best known for clinically?
Directory data describes SCOTT LANDRY (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SCOTT LANDRY (M.D.)?
SCOTT LANDRY (M.D.)'s geographic hint is Perryville, Missouri in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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