DR. SCOTT WAMBOLT (D.O.) – Emergency Medicine Physician, NPI 1427582881
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,051 EMERGENCY MEDICINE in TX
Provider Addresses for DR. SCOTT WAMBOLT (D.O.)
2200 BERGQUIST DR STE 1
WHMC/GE-2200
JBSA LACKLAND AFB, TX 782365300
Phone:
Type: Mailing
1 ELLIOT WAY
MANCHESTER, NH 031033502
Phone: (774) 249-9643
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: 2024-07-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210308001961 | I | Emergency Medicine | TX | TBD |
| I20210825003997 | I | General Practice | AK | TBD |
| I20240727000208 | I | Emergency Medicine | NH | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 145 | 145 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 90 | 84 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 64 | 64 | $0 |
| 99291 | Critical care, first 30-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 78236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NH | |
| Nurse Practitioner | NH | |
| - | NH | |
| P S Y C H I A T R Y | MA | |
| Orthopedic Surgery | NH | |
| Hospitalist, Internal Medicine, Pediatric Medicine | MI | |
| P S Y C H I A T R Y | NH | |
| - | NH | |
| - | NH | |
| Vascular Surgery | MA |
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