Scottsburg Primary Care – Rural Health Clinic/Center, NPI 1467057042

Scottsburg Primary Care is a healthcare provider. based in Louisville, Kentucky. specializing in Rural Health Clinic/Center. The NPI Number for Scottsburg Primary Care is 1467057042

Main info

Organization
Name
Scottsburg Primary Care
NPI
1467057042
Phone
(502) 253-4911
Address
1901 CAMPUS PL
Authorized Official
DANYEL D CLAY VP REVENUE CYCLE
Enumeration Date
2 December 2020
Last Update Date
22 July 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Scottsburg Primary Care

  • 1901 CAMPUS PL

    LOUISVILLE, KY 402992308

    Phone: (502) 253-4911

    Type: Mailing

  • 705 FAIRGROUND RD

    SCOTTSBURG, IN 471706778

    Phone: (812) 752-0165

    Fax: (812) 752-0163

    Type: Location

  • 5200 COMMERCE CROSSINGS DR FL 3

    LOUISVILLE, KY 402292182

    Phone: (502) 253-4911

    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: 2021-05-18

PECOS data refreshed: 2026-06-15

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
O20210518000583ORural Health ClinicINTBD

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 40299)

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Reviews

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Frequently asked questions

How do payers reference Scottsburg Primary Care?
For Scottsburg Primary Care, use NPI 1467057042 as the unique 10-digit identifier.
Active or inactive — what applies to Scottsburg Primary Care?
You should see Scottsburg Primary Care as active in CMS-hosted NPPES data.
What area of care is associated with Scottsburg Primary Care?
Scottsburg Primary Care's record emphasizes Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Is Scottsburg Primary Care associated with Louisville?
Public fields place Scottsburg Primary Care around Louisville, Kentucky. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Scottsburg Primary Care is noted as December 2, 2020 where the registry provides it.

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