1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Physician Assistant
  6. NPI Profile

SCOTT R GILLUM PA
NPI 1114003076
Physician Assistant - Surgical in Shreveport, LA

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
7925 YOUREE DR, SUITE 200, SHREVEPORT, LA 71105(318) 212-3610(318) 212-3672 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott R Gillum Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT R GILLUM PA (NPI 1114003076) is an individual surgical provider in Shreveport, Louisiana, licensed in Louisiana (PA200106) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1114003076
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSCOTT R GILLUMCredential: PA
Location Address7925 YOUREE DR, SUITE 200Shreveport, LA 71105-5127
Mailing Address7925 Youree Dr, Suite 200Shreveport, LA 71105-5127 · (318) 212-3610 · Fax (318) 212-3672
Phone(318) 212-3610
Fax(318) 212-3672
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
✔ NPI 1114003076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in LA · PA200106
7925 YOUREE DR, Shreveport, LA 71105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott R Gillum Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365442720
PECOS Enrollment IDI20070109000081
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
88 services85 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
68 services67 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
22 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORTHORX, INC.
Prosthetic/Orthotic Supplier
7925 YOUREE DR, SUITE 230
SHREVEPORT, LA 71105
Caddo Parish (318) 798-5583
JENNIFER FOGLEMAN
Specialist/Technologist (Athletic Trainer)
7925 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (337) 280-0460
DIANE RENEE MCCULLER NURSE PRACTITIONER
Nurse Practitioner
7925 YOUREE DR, SUITE 280A
SHREVEPORT, LA 71105
Caddo Parish (318) 798-6833
JAMES L ZUMBRUNNEN MD
Orthopaedic Surgery
7925 YOUREE DR, SUITE 200
SHREVEPORT, LA 71105
Caddo Parish (318) 798-6700
DR. EDWARD L MORGAN MD
Orthopaedic Surgery
7925 YOUREE DR, SUITE 200
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3610
HAROLD RYAN BICKNELL JR. MD
Orthopaedic Surgery
7925 YOUREE DR, SUITE 200
SHREVEPORT, LA 71105
Caddo Parish (318) 798-6700
THEA C PENNYWELL PA
Physician Assistant
7925 YOUREE DR, SUITE 220
SHREVEPORT, LA 71105
Caddo Parish (318) 424-3400
KARL K BILDERBACK, MD AND WILLIS-KNIGHTON MEDICAL CENTER
Orthopaedic Surgery (Hand Surgery)
7925 YOUREE DR, SUITE 200
SHREVEPORT, LA 71105
Caddo Parish (318) 798-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Gillum's NPI number?

The NPI number for Scott Gillum is 1114003076. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Scott Gillum located?

Scott Gillum practices at 7925 Youree Dr Suite 200, Shreveport, LA 71105. The listed phone number is (318) 212-3610.

What is Scott Gillum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Scott Gillum enrolled in Medicare?

Yes. Scott Gillum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Scott Gillum accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Scott Gillum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Scott Gillum affiliated with any hospitals?

According to CMS data, Scott Gillum is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Gillum was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.