Active NPI 1841630175 Individual Practitioner Male Practitioner

Dr. Scott Walrath , DPM

Podiatrist • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Walrath, DPM is a certified Podiatrist practicing in Worcester, MA. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Walrath delivers high-quality medical care to the local community at 55 LAKE AVE N.

Dr. Walrath is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083342903

Fax 7744422883

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Worcester, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -2.7 yrs vs City Avg

City Avg: 15.7 Yrs

State Avg: 30.6 Yrs

Regional Practice Density

19 Specialists

Practicing in Worcester, MA (308 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walrath (13 Years) 13 Yrs

Worcester Specialty Average (15.7 Years) 15.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	215	154	$300.00	$66.12
11042 Removal of skin and tissue, 20.0 sq cm or less	111	51	$487.95	$60.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	79	$445.00	$95.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	93	82	$450.00	$131.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$547.00	$133.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$359.00	$81.16
99213 Established patient office or other outpatient visit, typically 15 minutes	49	41	$300.00	$93.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	24	$238.00	$79.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$359.00	$114.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$178.00	$35.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$445.00	$132.18
20600 Aspiration and/or injection of fluid from small joint	21	14	$304.76	$36.14
28820 Amputation of toe at joint between the forefoot and toes	16	13	$1944.00	$167.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$547.00	$171.77
28470 Closed treatment of broken foot bone	11	11	$1000.00	$220.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	317	203	$281.98	$66.79
11042 Removal of skin and tissue, 20.0 sq cm or less	170	63	$439.79	$60.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$359.00	$83.89
99213 Established patient office or other outpatient visit, typically 15 minutes	70	57	$286.40	$92.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	39	$178.00	$36.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$359.00	$115.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	42	$450.00	$132.55
99221 Initial hospital inpatient care per day, typically 30 minutes	33	30	$331.00	$84.43
20600 Aspiration and/or injection of fluid from small joint	23	18	$311.65	$39.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	18	$238.00	$80.66
11721 Removal of fingernails or toenails, 6 or more nails	18	15	$187.00	$24.03
J1030 Injection, methylprednisolone acetate, 40 mg	16	11	$19.00	$7.56
11730 Simple separation of fingernail or toenail from nail bed, first nail	16	15	$381.50	$52.99
28820 Amputation of toe at joint between the forefoot and toes	14	12	$1944.00	$155.06
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$250.00	$48.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	393	198	$244.00	$69.20
11042 Removal of skin and tissue, 20.0 sq cm or less	233	77	$395.00	$62.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$359.00	$86.49
99221 Initial hospital inpatient care per day, typically 30 minutes	64	57	$331.00	$103.56
99213 Established patient office or other outpatient visit, typically 15 minutes	63	43	$244.00	$95.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	38	$178.00	$37.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$359.00	$117.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	26	$342.00	$105.69
20600 Aspiration and/or injection of fluid from small joint	15	12	$307.20	$38.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	308	189	$241.37	$70.38
11042 Removal of skin and tissue, 20.0 sq cm or less	239	79	$390.39	$63.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	136	136	$358.04	$87.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	64	$144.72	$37.66
99221 Initial hospital inpatient care per day, typically 30 minutes	93	80	$328.25	$104.66
99213 Established patient office or other outpatient visit, typically 15 minutes	60	47	$240.50	$96.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	35	$338.91	$105.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$357.65	$115.12
11042 Removal of skin and tissue, 20.0 sq cm or less	28	13	$382.79	$140.58
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$246.67	$51.58
11730 Simple separation of fingernail or toenail from nail bed, first nail	20	20	$342.45	$53.93
11721 Removal of fingernails or toenails, 6 or more nails	16	12	$187.00	$25.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	153	$214.00	$54.01
11042 Removal of skin and tissue, 20.0 sq cm or less	166	59	$357.00	$65.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$349.00	$80.20
99221 Initial hospital inpatient care per day, typically 30 minutes	73	59	$299.00	$107.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	44	$143.00	$27.33
99213 Established patient office or other outpatient visit, typically 15 minutes	60	44	$214.00	$78.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$349.00	$114.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	22	$308.00	$110.32
11042 Removal of skin and tissue, 20.0 sq cm or less	34	13	$357.00	$136.61
28820 Amputation of toe at joint between the forefoot and toes	18	14	$1778.00	$329.78
11721 Removal of fingernails or toenails, 6 or more nails	15	11	$187.00	$26.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$143.00	$48.74
11730 Simple separation of fingernail or toenail from nail bed, first nail	12	12	$313.00	$56.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	359	205	$212.66	$53.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	132	95	$142.70	$26.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$348.39	$79.27
11042 Removal of skin and tissue, 20.0 sq cm or less	112	51	$353.71	$64.44
99213 Established patient office or other outpatient visit, typically 15 minutes	86	48	$212.43	$78.00
99221 Initial hospital inpatient care per day, typically 30 minutes	58	53	$296.95	$106.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$348.70	$114.28
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$235.00	$53.18
11042 Removal of skin and tissue, 20.0 sq cm or less	29	13	$353.83	$128.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	20	$142.78	$47.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	18	$306.60	$108.69
97597 Removal of tissue from wound, 20.0 sq cm or less	19	16	$245.32	$25.15
11730 Simple separation of fingernail or toenail from nail bed, first nail	18	17	$311.83	$57.05
11721 Removal of fingernails or toenails, 6 or more nails	17	12	$187.00	$26.24
11720 Removal of fingernails or toenails, 1-5 nails	14	13	$119.00	$15.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	213	123	$199.00	$53.23
11721 Removal of fingernails or toenails, 6 or more nails	187	114	$187.00	$25.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	176	128	$140.00	$26.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$342.00	$78.89
11042 Removal of skin and tissue, 20.0 sq cm or less	101	25	$334.00	$65.61
99202 New patient office or other outpatient visit, typically 20 minutes	61	61	$231.00	$52.62
99213 Established patient office or other outpatient visit, typically 15 minutes	55	34	$199.00	$74.97
11056 Removal of noncancer thickened skin growth, 2-4 growths	49	30	$178.00	$23.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$342.00	$112.98
11730 Simple separation of fingernail or toenail from nail bed, first nail	30	25	$306.00	$56.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$140.00	$46.10
97597 Removal of tissue from wound, 20.0 sq cm or less	17	11	$215.00	$24.85
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	16	12	$751.00	$88.25
11055 Removal of single thickened skin growth	16	13	$142.00	$16.82
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$282.00	$105.24
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	13	11	$1645.00	$284.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	177	112	$187.00	$25.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	99	$137.60	$26.01
99202 New patient office or other outpatient visit, typically 20 minutes	84	84	$228.54	$51.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$336.87	$78.35
99213 Established patient office or other outpatient visit, typically 15 minutes	69	60	$199.00	$52.10
11042 Removal of skin and tissue, 20.0 sq cm or less	55	14	$340.07	$64.06
99213 Established patient office or other outpatient visit, typically 15 minutes	50	36	$199.00	$72.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	33	$139.14	$40.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$339.26	$107.14
11721 Removal of fingernails or toenails, 6 or more nails	35	29	$187.00	$39.40
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$230.13	$72.39
11056 Removal of noncancer thickened skin growth, 2-4 growths	28	21	$177.32	$23.44
11730 Simple separation of fingernail or toenail from nail bed, first nail	18	17	$303.00	$55.94
11055 Removal of single thickened skin growth	12	11	$141.00	$15.89

Medical Specialties & State Licenses

CMS Verified: 2020-10-29

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License MA 2449

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Podiatrist - Foot & Ankle Surgery

NUCC Taxonomy Code: 213ES0103X

State License MA 1300

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110119213A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Jeffrey Smith , FNP-C

Nurse Practitioner - Acute Care

NPI 1437768207

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

12 Historical Events

✅

NPI Profile Active April 21, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 21, 2017

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083342903)

📍

Updated Business Mailing Address April 21, 2017

Registered at PO BOX 415348, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated April 21, 2017

Recorded as SCOTT WALRATH, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2017

Podiatrist (License #1300 in MA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2017

Podiatrist (License #2449 in MA)

✅

NPI Profile Active October 26, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 26, 2016

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083342903)

📍

Updated Business Mailing Address October 26, 2016

Registered at PO BOX 415348, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated October 26, 2016

Recorded as SCOTT WALRATH, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2016

Podiatrist (License #2449 in MA)

🟢

Initial NPI Registration & Enumeration July 01, 2013

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: 1841630175

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 01, 2013

Last Update: October 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

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.