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DR. SCOTT A PAXTON D.O.
NPI 1548246242
Family Medicine - Hospice and Palliative Medicine in Sheboygan Falls, WI

Active since December 15, 2005PECOS Enrolled
W2850 STATE ROAD 28, SHEBOYGAN FALLS, WI 53085(920) 467-1800(920) 467-1900 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2025, Feb 17, 2023, Aug 16, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Scott A Paxton D.o. NPPES

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

DR. SCOTT A PAXTON D.O. (NPI 1548246242) is an individual hospice and palliative medicine provider in Sheboygan Falls, Wisconsin, licensed in Wisconsin (1800) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Holy Family Memorial, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1992).

NPPES Registry Identity

NPI1548246242
Entity TypeIndividualMale
Primary Taxonomy207QH0002X
Provider Legal NameDR. SCOTT A PAXTONCredential: D.O.
Location AddressW2850 STATE ROAD 28Sheboygan Falls, WI 53085-2702
Mailing AddressW2850 State Road 28Sheboygan Falls, WI 53085-2702 · (920) 467-1800 · Fax (920) 467-1900
Phone(920) 467-1800
Fax(920) 467-1900
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1992
Enumeration DateDecember 15, 2005
Last NPPES UpdateJanuary 3, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1548246242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License✔ Licensed in WI · 1800
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 5101013909 (MI), 1800 (WI)
W2850 STATE ROAD 28, Sheboygan Falls, WI 53085
Open in Google Maps ↗

Other Identifiers 5

Other0858207125MI · Bcbs Individual
Medicaid100218169WI
Other700H219150MI · Blue Shield
Medicaid1548246242MI
Other1800WI · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), 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 (PECOS)

Dr. Scott A Paxton D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658412796
PECOS Enrollment IDI20240131002338
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.

Hospital Affiliations CMS Care Compare

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

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53085 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 3

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

CLARE ELIZABETH ZIMMERMAN APRN, FNP-C
Family Medicine (Hospice and Palliative Medicine)
W2850 STATE ROAD 28
SHEBOYGAN FALLS, WI 53085
Sheboygan County (920) 467-1800
SHANA L WAGNER MSN, FNP-BC
Nurse Practitioner (Family)
W2850 STATE ROAD 28
SHEBOYGAN FALLS, WI 53085
Sheboygan County (920) 467-1800
JENNIFER ANN DAGGETT APNP
Family Medicine (Hospice and Palliative Medicine)
W2850 STATE ROAD 28
SHEBOYGAN FALLS, WI 53085
Sheboygan County (920) 467-1800

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 Paxton's NPI number?

The NPI number for Scott Paxton is 1548246242. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Scott Paxton located?

Scott Paxton practices at W2850 State Road 28, Sheboygan Falls, WI 53085. The listed phone number is (920) 467-1800.

What is Scott Paxton's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Scott Paxton enrolled in Medicare?

Yes. Scott Paxton is registered in the Medicare PECOS enrollment system.

What insurance does Scott Paxton accept?

Health plans from CareSource (Common Ground Healthcare) and Network Health list Scott Paxton 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 Paxton affiliated with any hospitals?

According to CMS data, Scott Paxton is affiliated with Holy Family Memorial.

When was this NPI record last updated?

The NPPES record for Scott Paxton was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.