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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SCOTT F ROUSH DO
NPI 1750469706
Family Medicine in Koshkonong, MO

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4335 US 160, KOSHKONONG, MO 65692(417) 794-4188(417) 384-3875 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Scott F Roush Do NPPES

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

SCOTT F ROUSH DO (NPI 1750469706) is an individual family medicine provider in Koshkonong, Missouri, licensed in Missouri (2002015295) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2001).

NPPES Registry Identity

NPI1750469706
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT F ROUSHCredential: DO
Location Address4335 US 160Koshkonong, MO 65692-9770
Mailing Address4335 Us 160Koshkonong, MO 65692-9770 · (417) 794-4188 · Fax (417) 384-3875
Phone(417) 794-4188
Fax(417) 384-3875
Sole ProprietorYes
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2001
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
✔ NPI 1750469706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2002015295
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4335 US 160, Koshkonong, MO 65692
Open in Google Maps ↗

Other Identifiers 3

Other678188MO · Healthlink
Other192322MO · Blue Cross Blue Shield
Medicaid200447514MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 F Roush Do 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 ID1355307000
PECOS Enrollment IDI20041206000194
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

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
66 services51 patients

Hospital Affiliations CMS Care Compare 3

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260078
Location1100 Kentucky AveWest Plains, MO 65775 · Howell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65692 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers33 claims92 services$6.20 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers24 claims24 services$41.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers22 claims22 services$114.24 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers20 claims51 services$42.89 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers13 claims61 services$23.93 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers11 claims48 services$14.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HERITAGE HEALTH LLC
Family Medicine (Hospice and Palliative Medicine)
4335 US 160
KOSHKONONG, MO 65692
Oregon County (417) 794-4188

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 Roush's NPI number?

The NPI number for Scott Roush is 1750469706. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Scott Roush located?

Scott Roush practices at 4335 Us 160, Koshkonong, MO 65692. The listed phone number is (417) 794-4188.

What is Scott Roush's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott Roush enrolled in Medicare?

Yes. Scott Roush 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 Roush accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Scott Roush 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 Roush affiliated with any hospitals?

According to CMS data, Scott Roush is affiliated with Cox Medical Centers, Mercy Hospital Springfield and Ozarks Healthcare.

When was this NPI record last updated?

The NPPES record for Scott Roush was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.