DR. RIDDELL WALCOTT SCOTT (M.D.) – Dermatology Physician, NPI 1881708139
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for DR. RIDDELL WALCOTT SCOTT (M.D.)
Ridgeview Medical Center, 500, South Maple Street, Waconia, Carver County, Minnesota, 55387, United States
WACONIA, MN 553871752
Phone: (952) 442-2191
Type: Mailing
4513 Williams Dr
Georgetown, TX 786331302
Phone: (129) 303-9095
Fax: (512) 869-0964
Type: Location
1320 Wonder World Dr Ste 108
San Marcos, TX 786667558
Phone: (512) 393-3375
Fax: (512) 754-3378
Type: Location
5625 Eiger Rd Ste 105
Austin, TX 787358978
Phone: (512) 763-3760
Fax: (512) 899-3376
Type: Location
4419 FRONTIER TRL STE 110
AUSTIN, TX 787451567
Phone: (512) 444-7208
Fax: (512) 444-2343
Type: Mailing
South Maple Street, Waconia, Carver County, Minnesota, 55387, United States
WACONIA, MN 553871753
Phone: (952) 442-3188
Fax: (952) 442-7861
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $680.
Total Amount is formed as General ($680) + Research ($0) + Ownership ($0) = $680.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($142).
Total Amount
$680
General + Research + Ownership
Payments
33
Total payment records
General Amount
$680
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-07-08
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 |
|---|---|---|---|---|
| I20220708002447 | I | Dermatology | TX | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 186 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 143 | 120 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 112 | 112 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 62 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 40 | $0 |
Insurance plans in this area (ZIP 55387)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
Reviews
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