SCOTT P. WATTENHOFER (M.D.) – Vascular Surgery Physician, NPI 1215911813
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
40 VASCULAR SURGERY in NE
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Provider Addresses for SCOTT P. WATTENHOFER (M.D.)
Omaha Post Office, Collins Street, Omaha, Boone County, Arkansas, 72662, United States
OMAHA, NE 681030755
Phone: (402) 354-2100
Fax: (402) 354-2155
Type: Mailing
West Dodge Medical Plaza, 515, North 162nd Avenue, Omaha, Douglas County, Nebraska, 68118, United States
SUITE 300
OMAHA, NE 681182539
Phone: (402) 393-6624
Fax: (402) 393-6635
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $1,402.
Total Amount is formed as General ($1,402) + Research ($0) + Ownership ($0) = $1,402.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Penumbra, Inc. ($377).
Total Amount
$1,402
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,402
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $377 |
| W. L. Gore & Associates, Inc. | $314 |
| Bard Peripheral Vascular, Inc. | $176 |
| Medtronic, Inc. | $153 |
| LeMaitre Vascular, Inc. | $120 |
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: 2014-07-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070216000098 | I | Vascular Surgery | NE | TBD |
| I20140703001588 | I | Vascular Surgery | IA | 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 |
|---|---|---|---|---|
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 369 | 357 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 262 | 216 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 248 | 246 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 178 | 176 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 75 | $0 |
Insurance plans in this area (ZIP 68103)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | NE | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 26 | 24 |
| VASCULAR SURGERY | NE | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 234 | 227 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| N E U R O L O G Y | NE | |
| Family Practice, Hospitalist | IA | |
| Nurse Practitioner | NE | |
| Internal Medicine | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| Infectious Disease | NE | |
| - | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NE |
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