SCOTT WILSON SOUTHARD (M.D.) – Orthopaedic Surgery Physician, NPI 1134176274

SCOTT WILSON SOUTHARD (M.D.) is a healthcare provider. based in Gardnerville, Nevada. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. G60029 (CA). The NPI Number for SCOTT WILSON SOUTHARD (M.D.) is 1134176274

Main info

Male
44 Years Of Experience
Name
SCOTT WILSON SOUTHARD (M.D.)
NPI
1134176274
Phone
(530) 541-4119
Address
1520 VIRGINIA RANCH RD STE 1B
Enumeration Date
27 May 2006
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7755898950
Graduation Year
1982 (44 years ago)
PAC ID
8325056500
Group Practice PAC ID
5395127682
Professional Enrollment ID
I20060329000700
Address ID
NV894499816ST165XX50XX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

252 ORTHOPEDIC SURGERY in NV

Provider Addresses for SCOTT WILSON SOUTHARD (M.D.)

  • 1520 VIRGINIA RANCH RD STE 1B

    GARDNERVILLE, NV 894105732

    Phone: (530) 541-4119

    Fax: (541) 813-2833

    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 4 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Stryker Corporation ($49).

Total Amount

$97

General + Research + Ownership

Payments

4

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

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: 2011-08-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060329000700IOrthopedic SurgeryNVTBD
I20110805000234IOrthopedic SurgeryCATBD

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 minutes308192$0
99203New patient office or other outpatient visit, 30-44 minutes115115$0
73030X-ray of shoulder, minimum of 2 views11399$0
20610Aspiration and/or injection of fluid from large joint10872$0
99214Established patient office or other outpatient visit, 30-39 minutes7864$0
View full utilization report →

Insurance plans in this area (ZIP 89410)

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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: 5395127682View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Critical Care (Intensivists), Emergency MedicineNV
Family PracticeCA
Family PracticeCA
P S Y C H I A T R YCA
Critical Care (Intensivists), Emergency Medicine, Emergency MedicineCA
O T O L A R Y N G O L O G YPA
U R O L O G YCA
Internal MedicineCA

Reviews

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Frequently asked questions

What NPI should I save for SCOTT WILSON SOUTHARD (M.D.)?
Save NPI 1134176274 if you need a stable reference for SCOTT WILSON SOUTHARD (M.D.).
Is SCOTT WILSON SOUTHARD (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SCOTT WILSON SOUTHARD (M.D.)?
The page reflects Orthopaedic Surgery Physician for SCOTT WILSON SOUTHARD (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for SCOTT WILSON SOUTHARD (M.D.)?
We surface Gardnerville, Nevada for SCOTT WILSON SOUTHARD (M.D.) based on available NPPES addresses.
What if Gardnerville, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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