KIRK D SCATTERGOOD MD
NPI 1790702652
Ophthalmology - Retina Specialist in Sturgeon Bay, WI

Q: What is Kirk Scattergood's NPI number?

The NPI number for Kirk Scattergood is 1790702652. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Q: What is Kirk Scattergood's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Kirk Scattergood was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment

30 N 18TH AVE STE 7, STURGEON BAY, WI 54235(920) 743-9532(920) 743-9538 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2026, Jun 6, 2024, Apr 7, 2022 and 2 more (5 updates tracked since 2017).

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About Kirk D Scattergood Md NPPES

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

KIRK D SCATTERGOOD MD (NPI 1790702652) is an individual retina specialist in Sturgeon Bay, Wisconsin, licensed in Wisconsin (36086) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1983).

NPPES Registry Identity

NPI1790702652

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameKIRK D SCATTERGOODCredential: MD

Location Address30 N 18TH AVE STE 7Sturgeon Bay, WI 54235-3207

Mailing Address1035 Kepler DrGreen Bay, WI 54311-8320 · (920) 490-9046 · Fax (920) 405-8005

Phone(920) 743-9532

Fax(920) 743-9538

Sole ProprietorNo

Medical School CMSJohns Hopkins University School Of MedicineGraduated 1983

Enumeration DateJuly 16, 2006

Last NPPES UpdateMay 19, 20265 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1790702652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in WI · 36086

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 36086 (WI)

30 N 18TH AVE STE 7, Sturgeon Bay, WI 54235

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Other Identifiers 1

Medicaid32078200WI

Accepted Insurance

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

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

Kirk D Scattergood Md 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 ID3173435310

PECOS Enrollment IDI20050910000023

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54235 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kirk Scattergood's NPI number?

The NPI number for Kirk Scattergood is 1790702652. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Kirk Scattergood located?

Kirk Scattergood practices at 30 N 18th Ave Ste 7, Sturgeon Bay, WI 54235. The listed phone number is (920) 743-9532.

What is Kirk Scattergood's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Kirk Scattergood enrolled in Medicare?

Yes. Kirk Scattergood 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.

What insurance does Kirk Scattergood accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 2 other insurers list Kirk Scattergood 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.

When was this NPI record last updated?

The NPPES record for Kirk Scattergood was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.