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DR. SCOTT WAMBOLT D.O.
NPI 1427582881
Emergency Medicine in Manchester, NH

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
84.29/100
CMS Quality Rating
1 ELLIOT WAY, MANCHESTER, NH 03103(774) 249-9643 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 16, 2024, Dec 24, 2022, Dec 31, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Scott Wambolt D.o. NPPES

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

DR. SCOTT WAMBOLT D.O. (NPI 1427582881) is an individual emergency medicine provider in Manchester, New Hampshire, licensed in New Hampshire (25534) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1427582881
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SCOTT WAMBOLTCredential: D.O.
Location Address1 ELLIOT WAYManchester, NH 03103-3502
Mailing Address1 Elliot WayManchester, NH 03103-3599
Phone(774) 249-9643
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 12, 2017
Last NPPES UpdateJuly 16, 20244 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1427582881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NH · 25534✔ Licensed in AK · 157824
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0102205459 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 ELLIOT WAY, Manchester, NH 03103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Scott Wambolt 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 ID4486079241
PECOS Enrollment IDI20240727000208
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Scott Wambolt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elliot Professional Services
1.8 mi
Internal Medicine
1070 HOLT AVE, UNIT 1, SUITE 2200
Manchester, NH 03109
  • Reassigned Medicare billing, New Hampshire enrollment
  • 446 clinicians in this Medicare group
NPI 1285627935 (603) 663-4900
Cowlitz Indian Tribe
2,500 mi
Rehabilitation, Substance Use Disorder
7105 NE 40TH ST
Vancouver, WA 98661
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Bristol Bay Area Health Corporation
  • 360 clinicians in this Medicare group
NPI 1538412630 (360) 353-9431

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
228 services227 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
84 services84 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
53 services48 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.
39 services38 patients

Hospital Affiliations CMS Care Compare

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

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03103 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

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.

84.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.92
Improvement Activities40

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.

JUSTINA JANE VOLODZKO PA-C
Physician Assistant (Surgical)
1 ELLIOT WAY
MANCHESTER, NH 03103
Hillsborough County (603) 669-5300
ELLIOT PROFESSIONAL SERVICES
Internal Medicine (Critical Care Medicine)
1 ELLIOT WAY, ELLIOT INTENSIVIST PROGRAM
MANCHESTER, NH 03103
Hillsborough County (603) 663-2231
ELLIOT PROFESSIONAL SERVICES
Pediatrics (Neonatal-Perinatal Medicine)
1 ELLIOT WAY, NEONATOLOGY SERVICES
MANCHESTER, NH 03103
Hillsborough County (603) 663-2692
DR. BRYAN PARKER ROWE M.D.
Radiology (Radiation Oncology)
1 ELLIOT WAY
MANCHESTER, NH 03103
Hillsborough County (603) 663-1800
DR. PETER WILSON SHAW MD
Internal Medicine (Cardiovascular Disease)
1 ELLIOT WAY
MANCHESTER, NH 03103
Hillsborough County (603) 627-1669
LAURA SLASON DOBENS CRNA
Nurse Anesthetist, Certified Registered
1 ELLIOT WAY
MANCHESTER, NH 03103
Hillsborough County (603) 663-2315
DR. CHARLES BECK EASTWOOD M.D., C.M.
Anesthesiology
1 ELLIOT WAY, SUITE 200
MANCHESTER, NH 03103
Hillsborough County (603) 663-2315
MRS. ERIN HOPE FERNALD APRN
Nurse Practitioner (Family)
1 ELLIOT WAY, EMERGENCY DEPARTMENT
MANCHESTER, NH 03103
Hillsborough County (603) 663-2830

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 Wambolt's NPI number?

The NPI number for Scott Wambolt is 1427582881. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Scott Wambolt located?

Scott Wambolt practices at 1 Elliot Way, Manchester, NH 03103. The listed phone number is (774) 249-9643.

What is Scott Wambolt's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Scott Wambolt enrolled in Medicare?

Yes. Scott Wambolt 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.

Which organizations bill Medicare for Scott Wambolt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Wambolt reassigns Medicare benefits to 2 organizations: Elliot Professional Services (Manchester, NH) and Cowlitz Indian Tribe (Vancouver, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Wambolt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Wambolt accept?

Health plans from WellSense Health Plan list Scott Wambolt 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 Wambolt affiliated with any hospitals?

According to CMS data, Scott Wambolt is affiliated with Elliot Hospital.

When was this NPI record last updated?

The NPPES record for Scott Wambolt was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.