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SCOTT D. FENSKE M.D.
NPI 1619960309
Internal Medicine in New Berlin, WI

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
14555 W NATIONAL AVE, SUITE 170, NEW BERLIN, WI 53151(262) 827-3636(262) 827-3626 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Scott D. Fenske M.d. NPPES

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

SCOTT D. FENSKE M.D. (NPI 1619960309) is an individual internal medicine provider in New Berlin, Wisconsin, licensed in Wisconsin (26964) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Se Wisconsin Hospital, and is a graduate of Indiana University School Of Medicine (1984).

NPPES Registry Identity

NPI1619960309
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSCOTT D. FENSKECredential: M.D.
Location Address14555 W NATIONAL AVE, SUITE 170New Berlin, WI 53151-4494
Mailing Address3003 W Good Hope RdMilwaukee, WI 53209-2042 · (414) 352-3100
Phone(262) 827-3636
Fax(262) 827-3626
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1984
Enumeration DateAugust 26, 2005
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1619960309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 26964
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
14555 W NATIONAL AVE, New Berlin, WI 53151
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Other Identifiers 2

OtherP00627750WI · Rr Medicare
Medicaid30808000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Scott D. Fenske M.d. 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 ID8325951015
PECOS Enrollment IDI20050615000344
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 Reassignment

Medicare enrollment records show Scott Fenske reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Advanced Healthcare, Inc.
14 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100

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 9

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
395 services199 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
163 services163 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
149 services52 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
139 services44 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
49 services47 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
48 services46 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53151 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers40 claims90 services$5.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims16 services$0.99 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims66 services$1.85 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$32.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. ANNE E WALZ CALVEY PA-C
Physician Assistant
14555 W NATIONAL AVE, SUITE 165
NEW BERLIN, WI 53151
Waukesha County (262) 827-3636
ORITSETIMEYIN E OTUBU-SCIPIO M.D.
Family Medicine
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (844) 284-0381
RUTH PENA PA-C
Physician Assistant (Medical)
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 693-4312
MICHELLE L MARTIN APNP
Nurse Practitioner
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-2955
BRIAN P. MCSORLEY M.D.
Family Medicine
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-2955
MARA M. SPENCER M.P.T.
Physical Therapist
14555 W NATIONAL AVE, STE. 135
NEW BERLIN, WI 53151
Waukesha County (262) 827-3180
DR. CHRISTINE MIERHA YANG R.PH
Pharmacist
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-9062
KYLA PHU APN
Nurse Practitioner
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (844) 284-0381

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 Fenske's NPI number?

The NPI number for Scott Fenske is 1619960309. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Scott Fenske located?

Scott Fenske practices at 14555 W National Ave Suite 170, New Berlin, WI 53151. The listed phone number is (262) 827-3636.

What is Scott Fenske's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Scott Fenske enrolled in Medicare?

Yes. Scott Fenske 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 organization bills Medicare for Scott Fenske's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Fenske reassigns Medicare benefits to Aurora Advanced Healthcare, Inc. (Milwaukee, WI). The 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 Fenske's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Fenske accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and Quartz and 1 other insurer list Scott Fenske 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 Fenske affiliated with any hospitals?

According to CMS data, Scott Fenske is affiliated with Ascension SE Wisconsin Hospital, Aurora St Lukes Medical Center, West Allis Memorial Hospital and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Scott Fenske was last updated on December 1, 2021. 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.