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SANDRA SCALZITTI M.D.
NPI 1881700466
Internal Medicine in Franklin, WI

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
7400 W RAWSON AVE, #G30, FRANKLIN, WI 53132(414) 425-7000(414) 425-7855 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra Scalzitti M.d. NPPES

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

SANDRA SCALZITTI M.D. (NPI 1881700466) is an individual internal medicine provider in Franklin, Wisconsin, licensed in Wisconsin (37741) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1992).

NPPES Registry Identity

NPI1881700466
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSANDRA SCALZITTICredential: M.D.
Location Address7400 W RAWSON AVE, #G30Franklin, WI 53132-8278
Mailing Address7400 W Rawson Ave, #g30Franklin, WI 53132-8278 · (414) 425-7000 · Fax (414) 425-7855
Phone(414) 425-7000
Fax(414) 425-7855
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1992
Enumeration DateAugust 23, 2006
Last NPPES UpdateSeptember 23, 2008
✔ NPI 1881700466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 37741
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.
Also ListedPediatricsTaxonomy 208000000X · License 37741 (WI)
7400 W RAWSON AVE, Franklin, WI 53132
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING29481WI
Medicare ID-Type Unspecified73840-0231WI
Medicaid32226900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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 and accepts Medicare assignment

Sandra Scalzitti 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 ID648213900
PECOS Enrollment IDI20050607001091
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 5

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.
115 services90 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.
77 services77 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 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.
17 services17 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53132 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.

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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Referred Medical Equipment & Supplies CMS DME claims

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
8 suppliers22 claims51 services$4.05 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.

DR. SUSAN MARIE CHMIEL DDS
Dentist (General Practice)
7400 W RAWSON AVE, SUITE 233
FRANKLIN, WI 53132
Milwaukee County (414) 525-0300
MRS. TAMMY L ERTL NP
Obstetrics & Gynecology
7400 W RAWSON AVE, SUITE 120
FRANKLIN, WI 53132
Milwaukee County (414) 409-1000
VALERIE NELSON MD
Family Medicine
7400 W RAWSON AVE
FRANKLIN, WI 53132
Milwaukee County (414) 425-7000
FRANKLIN CARDIAC CENTER LLC
Specialist
7400 W RAWSON AVE, SUITE 243
FRANKLIN, WI 53132
Milwaukee County (414) 427-2380
MILWAUKEE UROLOGY SPECIALISTS, SC
Urology
7400 W RAWSON AVE
FRANKLIN, WI 53132
Milwaukee County (414) 425-8700
DEBRA J SINGLETON CADCII
Counselor
7400 W RAWSON AVE, SUITE 213
FRANKLIN, WI 53132
Milwaukee County (414) 427-7347
WHEATON FRANCISCAN MEDICAL GROUP
Pediatrics
7400 W RAWSON AVE, STE. G30
FRANKLIN, WI 53132
Milwaukee County (414) 425-7000
PATRICIA F GOLDEN D.O.
Family Medicine
7400 W RAWSON AVE, SUITE G30
FRANKLIN, WI 53132
Milwaukee County (414) 425-7000

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 Sandra Scalzitti's NPI number?

The NPI number for Sandra Scalzitti is 1881700466. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Sandra Scalzitti located?

Sandra Scalzitti practices at 7400 W Rawson Ave #g30, Franklin, WI 53132. The listed phone number is (414) 425-7000.

What is Sandra Scalzitti's specialty?

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

Is Sandra Scalzitti enrolled in Medicare?

Yes. Sandra Scalzitti 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 Sandra Scalzitti accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Sandra Scalzitti 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 Sandra Scalzitti affiliated with any hospitals?

According to CMS data, Sandra Scalzitti is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Sandra Scalzitti was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.