Individual provider Active NPI

Drew Scott, PA-C

  • Physician Assistant
  • Evansville, IN
National Provider Identifier
1649051103
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004180A Issued in IN
Practice address
700 Kimber LN
Evansville, IN 47715-2803
Phone
(812) 476-7111
Fax
(812) 476-7117
NPI assigned
Oct 11, 2023
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.010109 IL
Physician Assistant 363A00000X 10004180A IN Primary

Addresses

Primary practice location

700 Kimber LN
Evansville, IN 47715-2803

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other practice location 1

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (812) 476-7111

Other identifiers 2

IdentifierTypeStateIssuer
7100943470MedicaidKY
300082122MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drew.scott.1@16521.direct.athenahealth.com Commonwealth Pain Associates, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231023002170 IL Practitioner - Physician Assistant 2769838051 Reassigns benefits to 1 organization
I20231102002674 IN Practitioner - Physician Assistant 2769838051 Reassigns benefits to 1 organization
I20240426001132 KY Practitioner - Physician Assistant 2769838051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (812) 476-7111

520 S 7TH St
Suite 159
Vincennes, IN 47591-1038
Phone (812) 962-7890

700 Kimber LN
Evansville, IN 47715-2803
Phone (812) 476-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.010109ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Oct 11, 2023 Accepting new patients
Commonwealth Pain Associates, PLLC Physician Assistant CurrentSince Oct 11, 2023 Accepting new patients

Locations

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

5435 Pearl Dr
Ste 4
Evansville, IN 47712
Phone (810) 347-6711

700 Kimber Ln
Evansville, IN 47715

1025 1st Ave W
Jasper, IN 47546
Phone (812) 482-6066

600 W 13th St
Ste 268
Jasper, IN 47546

520 S 7th St
Ste 159
Vincennes, IN 47591
Phone (812) 962-7890

223 Executive Park
Louisville, KY 40207

2609 New Hartford Rd
Ste 3
Owensboro, KY 42303
Phone (270) 417-2000

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: drew.scott.1@16521.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 6

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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1649051103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 KIMBER LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152803",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1418 College Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Carmel",
            "state": "IL",
            "postal_code": "628632638",
            "country_code": "US",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.010109",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004180A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100943470",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300082122",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drew.scott.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "700 Kimber Ln",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477152803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.