NPIMap

Individual provider Active NPI

Jeffrey Lee Scott, D.O.

  • Family Medicine Physician
  • Greybull, WY
National Provider Identifier
1811964570
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13542A Issued in WY
Practice address
6 S 5TH St
Greybull, WY 82426-2133
Phone
(307) 209-3391
Fax
(307) 202-4535
NPI assigned
Mar 2, 2006
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO23306 OR
Family Medicine Physician 207Q00000X O-0836 ID
Family Medicine Physician 207Q00000X 13542A WY Primary

Addresses

Primary practice location

6 S 5TH St
Greybull, WY 82426-2133

Mailing address

6 S 5TH St
Greybull, WY 82426-2133
Phone (307) 209-3391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20210505002865 WY Practitioner - Family Practice 1254322332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyo Clinic LLCGroup PAC ID 3476924218, 2 clinicians

Practice addresses (Care Compare)

6 S 5TH St
Greybull, WY 82426-2133
Phone (307) 209-3391

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of skin lesions16
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-0836IDMDFamily Medicine Physician
DO23306ORMDFamily Medicine Physician
13542AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyo Clinic LLC Family Medicine CurrentSince Dec 14, 2022 Accepting new patients

Locations

6 S 5th St
Greybull, WY 82426
Phone (307) 209-3391

Interoperability endpoints

  • Direct secure messaging: jeffrey.scott@493414675251204.direct.elationemr.com

Organizations & group practices 1

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1811964570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S 5TH ST",
            "city": "GREYBULL",
            "state": "WY",
            "postal_code": "824262133",
            "telephone_number": "307-209-3391",
            "fax_number": "307-202-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S 5TH ST",
            "city": "GREYBULL",
            "state": "WY",
            "postal_code": "824262133",
            "telephone_number": "307-209-3391",
            "fax_number": "307-202-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO23306",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0836",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "13542A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greybull, WY

Sources for this page

Verify at the official NPI Registry.