DR. SCOTT A KUNKEL D.O.
NPI 1609187004
Emergency Medicine in Sheboygan, WI

Q: What is Scott Kunkel's NPI number?

The NPI number for Scott Kunkel is 1609187004. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Q: What is Scott Kunkel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Scott Kunkel was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2629 N 7TH ST, SHEBOYGAN, WI 53083(920) 451-5000 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2022, Dec 28, 2021, Jul 11, 2019 (3 updates tracked since 2019).

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About Dr. Scott A Kunkel D.o. NPPES

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

DR. SCOTT A KUNKEL D.O. (NPI 1609187004) is an individual emergency medicine provider in Sheboygan, Wisconsin, licensed in Wisconsin (66197) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2010).

NPPES Registry Identity

NPI1609187004

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. SCOTT A KUNKELCredential: D.O.

Location Address2629 N 7TH STSheboygan, WI 53083-4932

Mailing Address2629 N 7th StSheboygan, WI 53083-4932 · (920) 451-5000

Phone(920) 451-5000

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2010

Enumeration DateJune 30, 2010

Last NPPES UpdateMay 3, 20223 updates tracked since enumeration

NPPES CertifiedMay 3, 2022

✔ NPI 1609187004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in WI · 66197✔ Licensed in CA · 19505

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.

2629 N 7TH ST, Sheboygan, WI 53083

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Other Identifiers 1

Medicaid1609187004WI

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 A Kunkel 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 ID7315223971

PECOS Enrollment IDI20220714000192

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 3

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.

119 services116 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.

40 services40 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53083 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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

100

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.

MR. MASON STENTZ ATC

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