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Active NPI 1396776613 Individual Practitioner Male Practitioner

Dr. Scott J Kolbaba , MD

Internal Medicine • Wheaton, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Scott Kolbaba, MD is a certified Internal Medicine practicing in Wheaton, IL. With approximately 49 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1977, Dr. Kolbaba delivers high-quality medical care to the local community at 7 BLANCHARD CIR.

Dr. Kolbaba maintains professional affiliations with Personalized Physicians Group Ltd, Select Rehabilitation, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7 Blanchard Cir
Suite 106

Wheaton, IL 601871037

Telephone 6305807600
Fax 6305807624
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wheaton, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
49 Yrs +24.2 yrs vs City Avg
City Avg: 24.8 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Wheaton, IL (7544 Statewide)

Telehealth Adoption Rate
56.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
46.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kolbaba (49 Years) 49 Yrs
Wheaton Specialty Average (24.8 Years) 24.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg
522 15 $1.03 $0.13
99213 Established patient office or other outpatient visit, typically 15 minutes
469 185 $155.00 $96.16
36415 Insertion of needle into vein for collection of blood sample
384 225 $25.00 $8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
364 167 $230.58 $135.30
81002 Urinalysis, manual test
298 213 $16.00 $3.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
274 243 $305.00 $190.54
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
243 132 $25.00 $17.24
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
214 214 $56.00 $26.87
93000 Routine ekg using at least 12 leads including interpretation and report
212 191 $40.00 $15.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
158 158 $175.00 $138.33
G0444 Annual depression screening, 5 to 15 minutes
154 154 $40.00 $20.15
G0008 Administration of influenza virus vaccine
107 105 $72.05 $33.45
90662 Influenza vaccine split virus, preservative free
103 101 $169.95 $81.15
G0442 Annual alcohol misuse screening, 5 to 15 minutes
91 91 $40.00 $20.13
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
86 86 $425.00 $291.76
G0009 Administration of pneumococcal vaccine
86 86 $23.00 $22.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
84 36 $150.00 $82.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
66 32 $215.00 $124.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
46 24 $95.00 $59.85
99496 Transitional care management services for problem of high complexity
43 33 $418.84 $296.07
99238 Hospital discharge day management, 30 minutes or less
40 34 $150.00 $85.07
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
36 20 $215.00 $56.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
34 26 $425.00 $181.45
83036 Hemoglobin A1C level
26 19 $70.00 $9.52
93242 Heart rhythm recording continous external ekg over more than 48 hours up to 7 days
24 23 $100.00 $12.89
82044 Urine microalbumin (protein) analysis
24 24 $20.00 $6.11
82570 Creatinine level to test for kidney function or muscle injury
24 24 $37.00 $5.08
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days
23 22 $100.00 $23.67
99443 Telephone medical discussion with physician, 21-30 minutes
21 19 $198.57 $134.64
69210 Removal of impacted ear wax
21 17 $115.00 $51.20
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight
18 17 $43.00 $27.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
18 17 $290.00 $137.70
20610 Aspiration and/or injection of fluid from large joint
17 16 $135.00 $70.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
14 13 $45.00 $24.15

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036060253

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036060253 (IL)

Hospital & Practice Group Affiliations

Select Rehabilitation, Llc

2600 Compass Rd, Glenview, IL 600268001

Personalized Physicians Group Ltd

7 Blanchard Cir, Wheaton, IL 601892047

Phone: 6305807600

Personalized Physicians Group Ltd

7 Blanchard Cir, Wheaton, IL 601892037

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. John Born , DO

Family Medicine

NPI 1225063357

Doctor of Osteopathic Medicine (D.O.)

Lindsey Lane , APN

Nurse Practitioner - Adult Health

NPI 1497360606

Advanced Practice Nurse

NPI 1710293576

APNCNP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 24, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2007

Registered at 7 BLANCHARD CIR, SUITE 106, WHEATON, IL 601871037 (Tel: 6305807600)

📍
Updated Business Mailing Address August 24, 2007

Registered at 7 BLANCHARD CIR, SUITE 106, WHEATON, IL 601871037 (Tel: 6305807600)

👤
Provider Name / Credentials Updated August 24, 2007

Recorded as SCOTT KOLBABA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2007

Internal Medicine (License #036060253 in IL)

🟢
Initial NPI Registration & Enumeration July 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396776613
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2006
Last Update: August 24, 2007
Sole Proprietor: No

Mailing Address

7 Blanchard Cir, Suite 106

Wheaton, IL 601871037

Phone: 6305807600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.