Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Scotty Ray Newcomer, DO

Individual provider Family Medicine Physician · NPI 1023496205

Dr. Scotty Ray Newcomer, DO is a Sports Medicine in Louisville, Kentucky. Graduated from Philadelphia College of Osteopathic Medicine in 2015, 11 years ago. Practices with Sn Kentuckiana Rehab, LLC, a 343-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
11
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
KY
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

210 E Gray St Ste 604
Louisville, KY 40202-3902
Phone: (502) 629-5633
Fax: (502) 629-5580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 04347 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence TP624 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023496205
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 8, 2015
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Sn Kentuckiana Rehab, Llc — 343 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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