I live in the NY area (Long Island), and have a business line on my phone, so I get dozens of scam calls per day.
Most are spoofed. Many, from local Long Island exchanges.
All the spoofed calls just reuse existing numbers. When I first started getting them, I called a couple, until I figured it out. I usually got some poor, confused schlub.
I’ve gotten some calls, myself, and have been said poor, confused schlub.