NPIMap

Individual provider Active NPI

Scott F Roush, DO

  • Family Medicine Physician
  • Koshkonong, MO
National Provider Identifier
1750469706
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002015295 Issued in MO
Practice address
4335 US 160
Koshkonong, MO 65692-9770
Phone
(417) 794-4188
Fax
(417) 384-3875
NPI assigned
Nov 1, 2006
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002015295 MO Primary

Addresses

Primary practice location

4335 US 160
Koshkonong, MO 65692-9770

Mailing address

4335 US 160
Koshkonong, MO 65692-9770
Phone (417) 794-4188

Other identifiers 3

IdentifierTypeStateIssuer
192322OtherMOBLUE CROSS BLUE SHIELD
678188OtherMOHEALTHLINK
200447514MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000194 MO Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1355307000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone 41725691116036

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
78.58
Promoting interoperability
99
Improvement activities
40
Cost
77.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center CurrentSince Nov 5, 2022 Accepting new patients
Ozarks Medical Center Family Medicine CurrentSince Nov 5, 2022 Accepting new patients

Locations

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Fl 5
Springfield, MO 65807

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

1307 Porter Wagoner Blvd
West Plains, MO 65775
Phone (417) 255-8645

Organizations & group practices 3

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1750469706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 US 160",
            "city": "KOSHKONONG",
            "state": "MO",
            "postal_code": "656929770",
            "telephone_number": "417-794-4188",
            "fax_number": "417-384-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 US 160",
            "city": "KOSHKONONG",
            "state": "MO",
            "postal_code": "656929770",
            "telephone_number": "417-794-4188",
            "fax_number": "417-384-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "SCOTT",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002015295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "192322",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "678188",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200447514",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Koshkonong, MO

Sources for this page

Verify at the official NPI Registry.