DR. SCOTT EDWARD WAVINAK (D.O.) – Family Medicine Physician, NPI 1063831733
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,076 FAMILY PRACTICE in MN
Provider Addresses for DR. SCOTT EDWARD WAVINAK (D.O.)
5725 LOFTUS LANE
SAVAGE, MN 553782717
Phone: (952) 226-9500
Fax: (952) 226-9501
Type: Mailing
701 Park Avenue
Hennepin County Medical Center - Family Medicine
Minneapolis, MN 55415
Phone: (612) 702-6102
Type: Location
5725 Loftus Lane
Savage, MN 553782717
Phone: (952) 226-9500
Fax: (952) 226-9501
Type: Location
4151 WILLOWWOOD ST SE
PRIOR LAKE, MN 553724304
Phone: (952) 226-2600
Type: Location
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: 2017-07-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170718003544 | I | Family Practice | MN | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 120 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 71 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 67 | 57 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 52 | 51 | $0 |
Insurance plans in this area (ZIP 55378)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| - | MN | |
| Family Practice | MN | |
| Family Practice | IL | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
Reviews
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