Individual provider Active NPI

Scott Andrew Skillington, MD

  • Otolaryngology Physician
  • Saint Louis, MO
National Provider Identifier
1366962201
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2022040885 Issued in MO
Practice address
10004 Kennerly Rd Ste 271B
Saint Louis, MO 63128-2177
Phone
(314) 843-8400
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2017020201 MO
Otolaryngology Physician 207Y00000X C4190 KY
Otolaryngology Physician 207Y00000X 2022040885 MO Primary

Addresses

Primary practice location

10004 Kennerly Rd Ste 271B
Saint Louis, MO 63128-2177

Mailing address

10004 Kennerly Rd Ste 271B
Saint Louis, MO 63128-2177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MT, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221031002316 MO Practitioner - Otolaryngology 2860869039 Reassigns benefits to 2 organizations
I20250509000586 MT Practitioner - Otolaryngology 2860869039 Reassigns benefits to 1 organization
I20250930001408 IL Practitioner - Otolaryngology 2860869039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

3417 Anderson Healthcare Dr
Suite 200
Edwardsville, IL 62025-7784
Phone (618) 288-8500

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Merit-based Incentive Payment System (MIPS)

Final score
79.16 of 100Reported as group
Quality
55.68
Promoting interoperability
100
Improvement activities
40
Cost
74.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017020201MOMDOtolaryngology Physician
2022040885MOMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of St. Louis, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Billings Clinic CurrentSince Apr 29, 2025 Accepting new patients
Sound Health Services P.C. Otolaryngology CurrentSince Nov 1, 2022 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Billings Clinic Current Accepting new patients
Owensboro Health Medical Group, Inc Otolaryngology CurrentSince Jul 21, 2025 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jul 21, 2025 Accepting new patients
Anderson Medical Group, LLC Otolaryngology CurrentSince Aug 1, 2025 Accepting new patients
Billings Clinic CurrentSince Apr 29, 2025 Accepting new patients
Urology of St. Louis, Inc. Past Accepting new patients

Locations

3417 Anderson Healthcare Dr
Ste 200
Edwardsville, IL 62025
Phone (618) 288-8500

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1000 Breckenridge St
Ste 303
Owensboro, KY 42303
Phone (270) 685-2392

12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415

1010 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 238-2535

10004 Kennerly Rd
Ste 271B
Saint Louis, MO 63128
Phone (314) 842-0443

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1366962201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 271B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 271B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282177",
            "telephone_number": "314-843-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLINGTON",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2017020201",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "C4190",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2022040885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.