SCOT A WILFONG (DO) – Family Medicine Physician, NPI 1306953278

SCOT A WILFONG (DO) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 29688 (WI). The NPI Number for SCOT A WILFONG (DO) is 1306953278

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
SCOT A WILFONG (DO)
NPI
1306953278
Phone
(414) 352-3100
Address
3003 W GOOD HOPE RD
Enumeration Date
24 August 2006
Last Update Date
27 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2623358600
Graduation Year
1987 (39 years ago)
PAC ID
2668527086
Group Practice PAC ID
3375625833
Professional Enrollment ID
I20090908000305
Address ID
WI530958539WE1100XCTXX300
Telehealth
Yes

Contacts

Secure Messaging
swilfong136@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,063 FAMILY PRACTICE in WI

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Provider Addresses for SCOT A WILFONG (DO)

  • Aurora Health Center, 3003, West Good Hope Road, Town & Country Manor, Glendale, Milwaukee County, Wisconsin, 53209, United States

    MILWAUKEE, WI 532092042

    Phone: (414) 352-3100

    Type: Mailing

  • PO BOX 735044

    CHICAGO, IL 606735044

    Phone: (800) 326-2250

    Type: Mailing

  • 1475, West Grand Avenue, Hidden Hills, Port Washington, Ozaukee County, Wisconsin, 53074, United States

    PORT WASHINGTON, WI 53074

    Phone: (262) 268-5100

    Fax: (262) 268-5118

    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: 2009-09-08

PECOS data refreshed: 2026-06-15

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
I20090908000305IFamily PracticeWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes423204$0
99213Established patient office or other outpatient visit, 20-29 minutes188107$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit172172$0
85610Blood test, clotting time10611$0
G0008Administration of influenza virus vaccine8181$0
View full utilization report →

Insurance plans in this area (ZIP 53209)

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Provider's Procedures

SCOT A WILFONG (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWI85610Blood test, clotting time4218
FAMILY MEDICINEWI90670Pneumococcal vaccine for injection into muscle6464

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: 3375625833View full group profile
NameSpecialtyState
-WI
-WI
Physician AssistantIL
Family PracticeIL
-WI
Family PracticePA
Cardiovascular Disease (Cardiology)WI
-WI
O B S T E T R I C S/ G Y N E C O L O G YIL
Family PracticeIL

Reviews

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Frequently asked questions

Can I use this page to confirm SCOT A WILFONG (DO)'s NPI?
Yes. SCOT A WILFONG (DO) is listed with NPI 1306953278 in the public NPI dataset.
Can I rely on SCOT A WILFONG (DO) being an active provider?
As of the registry snapshot, SCOT A WILFONG (DO) is marked active.
What taxonomy line describes SCOT A WILFONG (DO)?
For research purposes, treat SCOT A WILFONG (DO) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does SCOT A WILFONG (DO) serve?
SCOT A WILFONG (DO)'s listing highlights Milwaukee, Wisconsin; more addresses can appear in NPPES.
Why does SCOT A WILFONG (DO) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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