Active NPI 1962422675 Individual Practitioner Male Practitioner

Dr. Scott M Wilhelm , MD

Surgery • Cleveland, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Wilhelm, MD is a certified Surgery practicing in Cleveland, OH. With approximately 31 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1995, Dr. Wilhelm delivers high-quality medical care to the local community at 11100 EUCLID AVE.

Dr. Wilhelm is affiliated with University Hospitals Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, fine needle aspiration of first lesion using ultrasound guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11100 Euclid Ave

Cleveland, OH 441061716

Telephone 2168447874

Associated Practice Facility / Clinic

🏢 University Radiation Specialty, Inc. Facility NPI 1578565123

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cleveland, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +10.8 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

233 Specialists

Practicing in Cleveland, OH (1313 Statewide)

Telehealth Adoption Rate

24.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilhelm (31 Years) 31 Yrs

Cleveland Specialty Average (20.2 Years) 20.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$189.86	$90.17
99213 Established patient office or other outpatient visit, typically 15 minutes	34	33	$127.00	$61.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$268.00	$127.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$340.00	$158.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$358.00	$172.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$432.00	$209.17
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$171.00	$85.94
10005 Fine needle aspiration of first lesion using ultrasound guidance	20	20	$300.00	$69.36
76536 Ultrasound of head and neck	17	17	$116.00	$25.42
10005 Fine needle aspiration of first lesion using ultrasound guidance	15	14	$495.00	$125.11
60500 Removal or exploration of parathyroid glands	12	12	$3879.00	$929.77
76536 Ultrasound of head and neck	11	11	$314.00	$39.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	73	$110.81	$70.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	51	51	$397.18	$196.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$298.00	$143.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$175.45	$106.13
76536 Ultrasound of head and neck	18	17	$182.00	$40.00
10005 Fine needle aspiration of first lesion using ultrasound guidance	16	15	$373.13	$94.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$76.54	$42.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	84	$113.02	$73.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$300.17	$147.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$400.00	$201.36
10005 Fine needle aspiration of first lesion using ultrasound guidance	25	23	$393.60	$100.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$170.27	$104.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$79.00	$44.88
76536 Ultrasound of head and neck	15	15	$208.40	$59.87
60500 Removal or exploration of parathyroid glands	12	12	$3879.00	$854.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	98	$114.10	$75.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$300.63	$149.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$182.37	$110.48
76536 Ultrasound of head and neck	38	38	$199.37	$61.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$405.88	$197.21
10005 Fine needle aspiration of first lesion using ultrasound guidance	28	28	$418.39	$110.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$86.00	$49.29
60500 Removal or exploration of parathyroid glands	18	18	$3879.00	$989.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	73	$112.47	$58.32
76536 Ultrasound of head and neck	47	47	$200.26	$58.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$304.88	$147.02
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$385.75	$179.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$177.29	$90.96
10005 Fine needle aspiration of first lesion using ultrasound guidance	29	28	$373.97	$94.48
60500 Removal or exploration of parathyroid glands	25	25	$3879.00	$975.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$76.67	$33.20
99441 Telephone medical discussion with physician, 5-10 minutes	12	11	$30.17	$23.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	112	$112.41	$57.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$296.55	$141.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$387.21	$181.06
76536 Ultrasound of head and neck	33	31	$176.00	$60.04
10005 Fine needle aspiration of first lesion using ultrasound guidance	23	20	$367.83	$91.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$178.00	$90.13
60500 Removal or exploration of parathyroid glands	23	23	$3879.00	$946.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$79.12	$33.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$283.00	$135.87
60240 Removal of thyroid	11	11	$3856.00	$885.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	122	$110.72	$55.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$304.75	$141.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$402.40	$186.59
60100 Needle biopsy of thyroid, accessed through the skin	33	31	$393.61	$92.42
60500 Removal or exploration of parathyroid glands	31	31	$3879.00	$941.12
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	30	30	$359.70	$46.36
76536 Ultrasound of head and neck	25	25	$218.96	$76.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$76.43	$31.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	109	$112.87	$56.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$294.09	$134.67
76536 Ultrasound of head and neck	38	38	$183.74	$55.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$389.16	$179.62
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	33	30	$303.73	$42.78
60100 Needle biopsy of thyroid, accessed through the skin	31	26	$381.39	$88.23
60500 Removal or exploration of parathyroid glands	28	28	$3879.00	$922.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$76.43	$31.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$179.90	$89.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$278.00	$128.65

Medical Specialties & State Licenses

CMS Verified: 2021-01-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35-080997

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

Q80997 (SC)

Medicaid State Provider ID

2407756 (OH)

Commercial Insurance / Payer ID Unison

221196

Commercial Insurance / Payer ID Railroad Medicare

P00385153 (OH)

Commercial Insurance / Payer ID Railroad Medicare

P00126047 (OH)

Commercial Insurance / Payer ID Unison

000000221196 (OH)

Commercial Insurance / Payer ID Wellcare

364135 (OH)

Commercial Insurance / Payer ID Buckeye

738116 (OH)

Commercial Insurance / Payer ID Aetna

7533466 (AS)

Commercial Insurance / Payer ID Anthem

000000503719

Hospital & Practice Group Affiliations

University Hospitals Medical Group Inc

11100 Euclid Ave, Cleveland, OH 441061716

Phone: 2168441000

Practice Associates & Co-Workers

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

38 Associated Practitioners

Dr. Raymond Onders , MD

Surgery

NPI 1033139712

Doctor of Medicine (M.D.)

Dr. Marjie Persons , MD

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Doctor of Medicine (M.D.)

Dr. Vincent Obias , MD

Colon & Rectal Surgery

NPI 1053402487

Doctor of Medicine (M.D.)

Karen Schulz , CNS

Clinical Nurse Specialist - Adult Health

NPI 1124252747

Clinical Nurse Specialist

Dr. Bradley Champagne , MD

Colon & Rectal Surgery

NPI 1154357085

Doctor of Medicine (M.D.)

Dr. Charles Winans , MD

Surgery

NPI 1194817049

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 20, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2011

Registered at 11100 EUCLID AVE, CLEVELAND, OH 441061716 (Tel: 2168447874)

📍

Updated Business Mailing Address July 20, 2011

Registered at 24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 441171714

👤

Provider Name / Credentials Updated July 20, 2011

Recorded as SCOTT WILHELM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2011

Surgery (License #35-080997 in OH)

🟢

Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962422675

Entity Type:

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

Enumeration Date: July 19, 2006

Last Update: January 12, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

24701 Euclid Ave, 3rd Floor

Euclid, OH 441171714

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.