SCOTT A BILSE PA-C
NPI 1245297944
Physician Assistant in Madison, WI

Q: What is Scott Bilse's NPI number?

The NPI number for Scott Bilse is 1245297944. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Scott Bilse's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Bilse was last updated on February 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment

1211 FISH HATCHERY RD., MADISON, WI 53715(608) 252-8000(608) 288-6495 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 21, 2022, Nov 3, 2020, Mar 15, 2018 (3 updates tracked since 2018).

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About Scott A Bilse Pa-c NPPES

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

SCOTT A BILSE PA-C (NPI 1245297944) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (1144-23) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245297944

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSCOTT A BILSECredential: PA-C

Location Address1211 FISH HATCHERY RD.Madison, WI 53715-1909

Mailing Address1211 Fish Hatchery Rd.Madison, WI 53715-1909 · (608) 252-8000 · Fax (608) 288-6495

Phone(608) 252-8000

Fax(608) 288-6495

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateApril 27, 2006

Last NPPES UpdateFebruary 21, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2022

✔ NPI 1245297944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 1144-23

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1211 FISH HATCHERY RD., Madison, WI 53715

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Secondary Practice Locations 2

Location 12501 W Beltline Hwy Ste 601Madison, WI 53713-2309 · Phone (608) 294-6464 · Fax (608) 288-6495

Location 21313 Fish Hatchery Rd, Dean Medical CenterMadison, WI 53715-1911 · Phone (608) 252-8000 · Fax (608) 252-8245

Other Identifiers 1

Medicaid1245297944WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 A Bilse Pa-c 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 ID9739215161

PECOS Enrollment IDI20100324001159

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 2

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.

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.

65 services41 patients

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.

21 services16 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

56%36 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

74%39 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

23%47 patients1/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

65%20 patients3/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

YAMIL M ARBAJE MD

Internal Medicine (Hematology & Oncology)