DR. SCOTT MICHAEL DE WENTER (DPM) – Podiatrist, NPI 1376569194

DR. SCOTT MICHAEL DE WENTER (DPM) is a healthcare provider. based in Lake elsinore, California. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. E4080 (CA). The NPI Number for DR. SCOTT MICHAEL DE WENTER (DPM) is 1376569194

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT MICHAEL DE WENTER (DPM)
NPI
1376569194
Phone
(951) 245-7472
Address
600 CENTRAL AVE
Enumeration Date
14 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
9516791020
Graduation Year
1996 (30 years ago)
PAC ID
6305027764
Group Practice PAC ID
5395110076
Professional Enrollment ID
I20110218000403
Address ID
CA925631404MU28078RDXX308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,833 PODIATRY in CA

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Provider Addresses for DR. SCOTT MICHAEL DE WENTER (DPM)

  • 600, Central Avenue, North Elsinore, Lake Elsinore, Riverside County, California, 92530, United States

    STE G

    LAKE ELSINORE, CA 925302740

    Phone: (951) 245-7472

    Fax: (951) 674-1156

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110218000403IPodiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails490248$0
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes9090$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 92530)

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Provider's Procedures

DR. SCOTT MICHAEL DE WENTER (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYCA11056Removal of 2 to 4 thickened skin growths3423
PODIATRYCA11720Removal of tissue from 1 to 5 finger or toe nails2723

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395110076View full group profile
NameSpecialtyState
P O D I A T R YAZ
P O D I A T R YCA
P O D I A T R YCA
P O D I A T R YTX
P O D I A T R YTN
P O D I A T R YCA
P O D I A T R YTX
P O D I A T R YFL
P O D I A T R YCA
P O D I A T R YCA

Reviews

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Frequently asked questions

Can I cross-check DR. SCOTT MICHAEL DE WENTER (DPM) using NPI 1376569194?
NPI 1376569194 belongs to DR. SCOTT MICHAEL DE WENTER (DPM); compare other details if you need extra assurance.
Is DR. SCOTT MICHAEL DE WENTER (DPM) still an active registrant?
DR. SCOTT MICHAEL DE WENTER (DPM) carries an active NPI according to the public dataset.
What area of care is associated with DR. SCOTT MICHAEL DE WENTER (DPM)?
DR. SCOTT MICHAEL DE WENTER (DPM)'s record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
Where in California is DR. SCOTT MICHAEL DE WENTER (DPM) registered?
Use Lake Elsinore, California as the headline location for DR. SCOTT MICHAEL DE WENTER (DPM) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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