DR. SCOTT W DIVENERE (MD) – Otolaryngology Physician, NPI 1881677714

DR. SCOTT W DIVENERE (MD) is a healthcare provider. based in Joliet, Illinois. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. The NPI Number for DR. SCOTT W DIVENERE (MD) is 1881677714

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT W DIVENERE (MD)
NPI
1881677714
Phone
(815) 725-1191
Address
2201 GLENWOOD AVE
Enumeration Date
23 November 2005
Last Update Date
7 November 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8157251191
Graduation Year
1995 (31 years ago)
PAC ID
8527066083
Group Practice PAC ID
2668446584
Professional Enrollment ID
I20090422000218
Address ID
IL604355574JO2201XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

488 OTOLARYNGOLOGY in IL

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Provider Addresses for DR. SCOTT W DIVENERE (MD)

  • 2201, Glenwood Avenue, Joliet, Will County, Illinois, 60435, United States

    JOLIET, IL 604355574

    Phone: (815) 725-1191

    Fax: (815) 725-2048

    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)

CMS reports 13 Open Payments records for all available years, with a total value of $523.

Total Amount is formed as General ($523) + Research ($0) + Ownership ($0) = $523.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($161).

Total Amount

$523

General + Research + Ownership

Payments

13

Total payment records

General Amount

$523

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-04-22

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
I20090422000218IOtolaryngologyILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes309235$0
69210Removal of impacted ear wax197146$0
99214Established patient office or other outpatient visit, 30-39 minutes173148$0
99203New patient office or other outpatient visit, 30-44 minutes120120$0
99204New patient office or other outpatient visit, 45-59 minutes9696$0
View full utilization report →

Insurance plans in this area (ZIP 60435)

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Provider's Procedures

DR. SCOTT W DIVENERE (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYIL95117Injection of incremental dosages of allergen, 2 or more injections41818

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: 2668446584View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YIL
O T O L A R Y N G O L O G YIL
O T O L A R Y N G O L O G YIL
Qualified AudiologistIL
O T O L A R Y N G O L O G YIL
Qualified AudiologistIL
Qualified AudiologistIL
Qualified AudiologistOR
Qualified AudiologistIL
O T O L A R Y N G O L O G YIL

Reviews

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Frequently asked questions

Is there an official ID for DR. SCOTT W DIVENERE (MD) in U.S. healthcare records?
The official identifier for DR. SCOTT W DIVENERE (MD) is NPI 1881677714.
Active or inactive — what applies to DR. SCOTT W DIVENERE (MD)?
You should see DR. SCOTT W DIVENERE (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. SCOTT W DIVENERE (MD)?
DR. SCOTT W DIVENERE (MD)'s specialty line reads Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is DR. SCOTT W DIVENERE (MD) associated with Joliet?
Public fields place DR. SCOTT W DIVENERE (MD) around Joliet, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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