DR. SCOTT WALLER (M.D.) – Orthopaedic Surgery Physician, NPI 1720011547
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
464 ORTHOPEDIC SURGERY in CT
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Provider Addresses for DR. SCOTT WALLER (M.D.)
Trap Falls Road, Shelton, Fairfield County, Connecticut, 06484-6216, United States
SHELTON, CT 064847622
Phone: (203) 734-7900
Fax: (203) 513-3269
Type: Mailing
220 Main St Ste 1F
Oxford, CT 064781065
Phone: (203) 734-7900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $67.
Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($41).
Total Amount
$67
General + Research + Ownership
Payments
3
Total payment records
General Amount
$67
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $41 |
| Ardelyx, Inc. | $26 |
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: 2005-08-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050824000284 | I | Orthopedic Surgery | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 100 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 64 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 46 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 43 | 43 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 17 | 14 | $0 |
Insurance plans in this area (ZIP 06484)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | CT | 73140 | X-ray of fingers, minimum of 2 views | 12 | 11 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Orthopedic Surgery, Sports Medicine | CT | |
| - | CT | |
| - | CT | |
| Orthopedic Surgery | CT | |
| - | CT | |
| Physical Therapist In Private Practice | CT | |
| Physical Therapist In Private Practice | CT |
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