SCOTT T WESLOW (MD) – Interventional Cardiology Physician, NPI 1104836113
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
704 CARDIOVASCULAR DISEASE (CARDIOLOGY) in WI
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Provider Addresses for SCOTT T WESLOW (MD)
Green Bay, Broadway, Queens, New York, 11373, United States
GREEN BAY, WI 543032728
Phone: (920) 965-4055
Fax: (920) 405-5388
Type: Mailing
2845, Greenbrier Road, Bucktown, Dorchester County, Maryland, 21613, United States
STE 310
GREEN BAY, WI 543116519
Phone: (920) 288-8300
Fax: (920) 288-8305
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Medtronic, Inc. ($43).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $43 |
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: 2006-09-06
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 |
|---|---|---|---|---|
| I20060906000430 | I | Cardiovascular Disease (Cardiology) | WI | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 529 | 380 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 110 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 93 | 85 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 69 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 40 | 40 | $0 |
Insurance plans in this area (ZIP 54303)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | WI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 436 | 362 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Family Practice | WI | |
| - | OH | |
| - | WI |
Reviews
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