DR. SCOTT A KUNKEL D.O.
NPI 1609187004
Emergency Medicine in Sheboygan, WI
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
Specialties & Licenses
Other Identifiers 1
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 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.
Medicare Billing Reassignments
3Medicare enrollment records show Scott Kunkel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blythe, CA 92225
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1073554002 (California)
- 2,323 clinicians in this Medicare group
Escondido, CA 92029
- Reassigned Medicare billing, California enrollment
- 135 clinicians in this Medicare group
Coronado, CA 92118
- Reassigned Medicare billing, California enrollment
- 44 clinicians in this Medicare group
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 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.
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.
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.
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.
SHEBOYGAN, WI 53083
SHEBOYGAN, WI 53083
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 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.
Where is Scott Kunkel located?
Scott Kunkel practices at 2629 N 7th St, Sheboygan, WI 53083. The listed phone number is (920) 451-5000.
What is Scott Kunkel's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Scott Kunkel enrolled in Medicare?
Yes. Scott Kunkel 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 Kunkel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Kunkel reassigns Medicare benefits to 3 organizations: Cep America-California (Blythe, CA), Palomar Emergency Physicians, Inc (Escondido, CA) and Emergency Services Medical Corporation Coronado (Coronado, CA). 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 Kunkel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Scott A Kunkel, D.O. · NPI 1609187004
Emergency Medicine physician in Sheboygan, Wisconsin. Individual provider, active in the CMS NPPES registry since June 30, 2010.
## Identity
- **NPI:** 1609187004 (Entity type: Individual)
- **Enumerated:** June 30, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 66197 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2629 N 7TH ST, Sheboygan, WI 53083-4932
- **Phone:** (920) 451-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Cep America-California (NPI 1710826581, Blythe, CA); Palomar Emergency Physicians, Inc (NPI 1124698139, Escondido, CA); Emergency Services Medical Corporation Coronado (NPI 1598395675, Coronado, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2010
## Record status
- **NPPES last updated:** May 3, 2022
- **Other identifiers:** Medicaid 1609187004 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1609187004) · Data from the CMS NPPES public registry.