SCOTT D WISSINK (MD) – Orthopaedic Surgery Physician, NPI 1942425061

SCOTT D WISSINK (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD427066 (PA). The NPI Number for SCOTT D WISSINK (MD) is 1942425061

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT D WISSINK (MD)
NPI
1942425061
Phone
(952) 993-1440
Address
8170 33RD AVE S
Enumeration Date
16 April 2007
Last Update Date
5 February 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9528318742
Graduation Year
2003 (23 years ago)
PAC ID
1850482993
Group Practice PAC ID
3173570561
Professional Enrollment ID
I20110311000249
Address ID
MN554314800BL8100XDRXX300
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

243 SPORTS MEDICINE in MN

Provider Addresses for SCOTT D WISSINK (MD)

  • 8170 33RD AVE S

    MAIL STOP 21110Q P.O. BOX 1309

    MINNEAPOLIS, MN 554254516

    Phone: (952) 993-1440

    Type: Mailing

  • 9555 UPLAND LANE NORTH

    MAPLE GROVE, MN 55369

    Phone: (952) 993-1440

    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: 2011-03-11

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
I20110311000249ISports MedicineMNTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg23542$0
99203New patient office or other outpatient visit, 30-44 minutes9494$0
99214Established patient office or other outpatient visit, 30-39 minutes8382$0
20610Aspiration and/or injection of fluid from large joint5243$0
99213Established patient office or other outpatient visit, 20-29 minutes5246$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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Provider's Procedures

SCOTT D WISSINK (MD) performs procedures in SPORTS MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
SPORTS MEDICINEMN73110X-ray of wrist, minimum of 3 views1514
SPORTS MEDICINEMN73562X-ray of knee, 3 views2927

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: 3173570561View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
-MN
Physical Medicine And RehabilitationMN
Orthopedic SurgeryMN
Occupational Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN
-MN
-MN

Reviews

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Frequently asked questions

How do payers reference SCOTT D WISSINK (MD)?
For SCOTT D WISSINK (MD), use NPI 1942425061 as the unique 10-digit identifier.
Is there an active status for SCOTT D WISSINK (MD)?
For scheduling context, SCOTT D WISSINK (MD) is shown as active in the registry.
What clinical focus is listed for SCOTT D WISSINK (MD)?
At a glance, SCOTT D WISSINK (MD) is tied to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is SCOTT D WISSINK (MD) located near Minneapolis?
SCOTT D WISSINK (MD) currently maps to Minneapolis, Minnesota in this extract.
Does SCOTT D WISSINK (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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