DR. SCOTT EDWARD WAVINAK D.O.
NPI 1063831733
Family Medicine in Prior Lake, MN

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
4151 WILLOWWOOD ST SE, PRIOR LAKE, MN 55372(952) 226-2600 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Scott Edward Wavinak D.o. NPPES

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

DR. SCOTT EDWARD WAVINAK D.O. (NPI 1063831733) is an individual family medicine provider in Prior Lake, Minnesota, licensed in Minnesota (60135) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063831733
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SCOTT EDWARD WAVINAKCredential: D.O.
Location Address4151 WILLOWWOOD ST SEPrior Lake, MN 55372-4304
Mailing Address4151 Willowwood St SePrior Lake, MN 55372-4304
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2014
Enumeration DateApril 10, 2014
Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1063831733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 60135
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.
4151 WILLOWWOOD ST SE, Prior Lake, MN 55372

Secondary Practice Locations 2

Location 1701 Park Avenue, Hennepin County Medical Center - Family MedicineMinneapolis, MN 55415 · Phone (612) 702-6102
Location 25725 Loftus LaneSavage, MN 55378-2717 · Phone (952) 226-9500 · Fax (952) 226-9501

Accepted 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

Dr. Scott Edward Wavinak D.o. 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 ID9739488669
PECOS Enrollment IDI20170718003544
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 16

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.
118 services78 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.
106 services77 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.
75 services63 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
74 services62 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
52 services44 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
43 services43 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55372 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
6 suppliers12 claims25 services$5.91 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 10

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

Family Medicine
4151 WILLOWWOOD ST SE
PRIOR LAKE, MN 55372
Family Medicine
4151 WILLOWWOOD ST SE
PRIOR LAKE, MN 55372
Family Medicine
4151 WILLOWWOOD ST SE
PRIOR LAKE, MN 55372
Nurse Practitioner (Family)
4151 WILLOWWOOD ST SE
PRIOR LAKE, MN 55372
Nurse Practitioner (Family)
4151 WILLOWWOOD ST SE
PRIOR LAKE, MN 55372
Clinic/Center (Primary Care)
4151 WILLOWWOOD ST SE
PRIOR LAKE, MN 55372
Pharmacy (Community/Retail Pharmacy)
4151 WILLOWWOOD ST SE
PRIOR LAKE, MN 55372
Family Medicine
4151 WILLOWWOOD ST SE
PRIOR LAKE, MN 55372

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 Wavinak's NPI number?

The NPI number for Scott Wavinak is 1063831733. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Scott Wavinak located?

Scott Wavinak practices at 4151 Willowwood St SE, Prior Lake, MN 55372. The listed phone number is (952) 226-2600.

What is Scott Wavinak's specialty?

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

Is Scott Wavinak enrolled in Medicare?

Yes. Scott Wavinak 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 Wavinak accept?

Health plans from Medica and Sanford Health Plan list Scott Wavinak 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 Wavinak affiliated with any hospitals?

According to CMS data, Scott Wavinak is affiliated with M Health Fairview Southdale Hospital and M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Scott Wavinak was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.