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SCOTT C HICKS M.D.
NPI 1053497362
Orthopaedic Surgery in Menomonee Falls, WI

Active since October 29, 2006PECOS EnrolledAccepts Medicare Assignment
W129N7055 NORTHFIELD DR, ORTHOPAEDIC SURGERY, MENOMONEE FALLS, WI 53051(262) 253-5400(262) 253-3399 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott C Hicks M.d. NPPES

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

SCOTT C HICKS M.D. (NPI 1053497362) is an individual orthopaedic surgery provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (49679) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of Medical College Of Wisconsin (2005).

NPPES Registry Identity

NPI1053497362
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSCOTT C HICKSCredential: M.D.
Location AddressW129N7055 NORTHFIELD DR, ORTHOPAEDIC SURGERYMenomonee Falls, WI 53051-0538
Mailing AddressW129n7055 Northfield Dr, Orthopaedic SurgeryMenomonee Falls, WI 53051-0538 · (262) 253-5400 · Fax (262) 253-3399
Phone(262) 253-5400
Fax(262) 253-3399
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2005
Enumeration DateOctober 29, 2006
Last NPPES UpdateApril 17, 2015
✔ NPI 1053497362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WI · 49679
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
W129N7055 NORTHFIELD DR, Menomonee Falls, WI 53051
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Other Identifiers 2

Medicare PIN736012208WI
Medicaid1053497362WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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 C Hicks M.d. 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 ID5698807287
PECOS Enrollment IDI20100716000747
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 9

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
220 services127 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.
183 services135 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
94 services28 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
44 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services34 patients
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.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520103
LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53051 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier17 claims303 services$18.83 avg. paid by Medicare
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment L3960
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$602.43 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 20

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

LISA COOK PA
Physician Assistant
W129N7055 NORTHFIELD DR, BLDG A, STE 203
MENOMONEE FALLS, WI 53051
Waukesha County (262) 253-7155
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
Clinic/Center (Radiology)
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (262) 251-5305
DANIEL BRUSS
Physical Therapist
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (262) 253-5400
JAMIE BONORIS
Nurse Practitioner (Family)
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (414) 805-7000
ALEXANDER R HENDRICKSON O.T.
Occupational Therapist
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (608) 252-2000
DR. TAMARA CARR STRUEBING PHARMD
Pharmacist
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (414) 777-7097
MS. SUZANNE E. MOSER LCSW
Social Worker (Clinical)
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (414) 805-3666
DANA M. FIELDS PA-C
Physician Assistant
W129N7055 NORTHFIELD DR
MENOMONEE FALLS, WI 53051
Waukesha County (262) 253-5400

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 Hicks's NPI number?

The NPI number for Scott Hicks is 1053497362. It was assigned to this individual provider in the NPPES registry on October 29, 2006.

Where is Scott Hicks located?

Scott Hicks practices at W129n7055 Northfield Dr Orthopaedic Surgery, Menomonee Falls, WI 53051. The listed phone number is (262) 253-5400.

What is Scott Hicks's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Scott Hicks enrolled in Medicare?

Yes. Scott Hicks 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 Hicks accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Scott Hicks 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 Hicks affiliated with any hospitals?

According to CMS data, Scott Hicks is affiliated with St Josephs Community Hospital West Bend, Community Memorial Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Scott Hicks was last updated on April 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.