It turns out that scammers are more resilient then I gave them credit for: One scammer has repeatedly tried to bypass my black list by calling with different spoofed local numbers. I then noticed that they also call with different variations of their name. Things are mostly quiet now as I was able to use "name blocking" using the "contains" option to block them. Though I have to block multiple names.
We're still getting about a dozen call per day, with all but a couple blocked. I regularly add the various unblocked names to the blacklist. However, today's name came through as our health insurance company, with what I assume is a spoofed number. They're a major player, so i imagine it's a random hit on the scammers part. Unfortunately, I can't really blacklist my insurance company. I expect this sort of thing will keep happening and likely increase.
My expectation is that I will need to purchase a converter box either add a line to my cell service (and rely on their excellent blocking service), or put together my own PBX ("press '7' to speak to ..."). I'm leaning toward the PBX, as I can route my number through a VOIP service (like Google Voice) and drop my land line. Over the long term the savings from dropping the landline should pay for the hardware.
Besides, it sounds like a fun hobby project!
Larry