Active NPI 1619974672 Individual Practitioner Male Practitioner

Dr. Scott A Wilson , MD

Internal Medicine • Cumberland, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Scott Wilson, MD is a certified Internal Medicine practicing in Cumberland, RI. With approximately 29 years of clinical experience since graduating from Warren Alpert Medical School Of Brown University in 1997, Dr. Wilson delivers high-quality medical care to the local community at 106 NATE WHIPPLE HWY.

Dr. Wilson is affiliated with Vmd Primary Providers Of Rhode Island Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

106 Nate Whipple Hwy

Cumberland, RI 028641403

Telephone 4016582020

Fax 4016583612

Associated Practice Facility / Clinic

🏢 Physicians Of Rhode Island Medical Enterprises, Inc. Facility NPI 1063402964

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cumberland, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -8.6 yrs vs City Avg

City Avg: 37.6 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

10 Specialists

Practicing in Cumberland, RI (1079 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (29 Years) 29 Yrs

Cumberland Specialty Average (37.6 Years) 37.6 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	157	105	$291.81	$127.11
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	121	86	$32.00	$16.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	101	101	$298.00	$129.35
93000 Routine ekg using at least 12 leads including interpretation and report	97	93	$34.00	$14.14
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	44	44	$59.00	$25.25
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	41	30	$60.00	$25.28
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$206.00	$91.79
G0008 Administration of influenza virus vaccine	27	27	$50.00	$32.68
G0009 Administration of pneumococcal vaccine	22	22	$50.00	$32.68

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	138	97	$292.00	$129.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	94	94	$298.00	$129.88
93000 Routine ekg using at least 12 leads including interpretation and report	84	83	$34.00	$14.62
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	53	40	$60.00	$25.86
G0009 Administration of pneumococcal vaccine	39	39	$50.00	$31.37
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$206.00	$86.36
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	35	35	$59.00	$26.21
G0008 Administration of influenza virus vaccine	27	27	$50.00	$31.37

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	169	109	$292.00	$130.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$298.00	$129.97
93000 Routine ekg using at least 12 leads including interpretation and report	80	79	$34.00	$14.70
99213 Established patient office or other outpatient visit, typically 15 minutes	63	45	$206.00	$91.46
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	51	40	$60.00	$27.10
G0009 Administration of pneumococcal vaccine	33	33	$50.00	$30.76
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	27	27	$59.00	$27.05
G0008 Administration of influenza virus vaccine	17	17	$50.00	$30.61
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	16	$450.00	$261.03
96127 Assessment of emotional or behavioral problems	13	12	$12.00	$4.62
G0444 Annual depression screening, 5 to 15 minutes	12	12	$43.00	$19.25

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	168	106	$228.99	$114.64
99213 Established patient office or other outpatient visit, typically 15 minutes	88	68	$154.20	$77.59
G0444 Annual depression screening, 5 to 15 minutes	82	82	$38.00	$19.55
93000 Routine ekg using at least 12 leads including interpretation and report	43	43	$35.77	$15.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$94.70	$43.48
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	20	20	$54.25	$27.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$302.00	$160.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$248.91	$137.94

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	133	83	$225.00	$85.35
99213 Established patient office or other outpatient visit, typically 15 minutes	96	73	$153.00	$61.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	48	$91.00	$35.06
G0444 Annual depression screening, 5 to 15 minutes	44	44	$38.00	$19.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	27	$50.00	$18.38
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$36.00	$17.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	11	$302.00	$108.78

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	206	129	$225.00	$83.09
G0444 Annual depression screening, 5 to 15 minutes	96	96	$38.00	$18.75
93000 Routine ekg using at least 12 leads including interpretation and report	92	87	$36.00	$17.63
99213 Established patient office or other outpatient visit, typically 15 minutes	77	55	$153.00	$58.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	29	$302.00	$115.93
G0008 Administration of influenza virus vaccine	20	20	$52.00	$17.28
83036 Hemoglobin A1C level	18	15	$24.00	$10.57
96127 Assessment of emotional or behavioral problems	14	14	$15.00	$5.57
90662 Influenza vaccine split virus, preservative free	11	11	$85.00	$54.42

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	177	117	$225.00	$93.97
99213 Established patient office or other outpatient visit, typically 15 minutes	85	68	$153.00	$61.03
93000 Routine ekg using at least 12 leads including interpretation and report	66	66	$36.00	$17.18
G0444 Annual depression screening, 5 to 15 minutes	53	53	$38.00	$18.17
83036 Hemoglobin A1C level	21	19	$23.43	$11.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$302.00	$127.23

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	185	120	$229.97	$102.12
99213 Established patient office or other outpatient visit, typically 15 minutes	96	78	$157.48	$69.97
93000 Routine ekg using at least 12 leads including interpretation and report	71	66	$36.79	$17.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$248.38	$115.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$362.75	$163.88

Medical Specialties & State Licenses

CMS Verified: 2025-07-07

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD10225

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

7008327 (RI)

Hospital & Practice Group Affiliations

Vmd Primary Providers Of Rhode Island Pc

106 Nate Whipple Hwy, Cumberland, RI 028641403

Phone: 40165820201403

Practice Associates & Co-Workers

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

9 Associated Practitioners

Lindsey Grissom

Physician Assistant

NPI 1043078405

Jenna Boutilier , NP

Nurse Practitioner

NPI 1154657443

Nurse Practitioner

Amanda Blanchard , MSN-FNP-C

Nurse Practitioner - Family

NPI 1184283202

MSNFNPC

Robert Pugliese , MSN, APRN, FNP, NP-C

Nurse Practitioner - Family

NPI 1255672440

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner, Nurse Practitioner (Certified)

Keith Shields , PA-C

Physician Assistant

NPI 1265972350

Physician Assistant (Certified)

Dr. Cathy Schoorens , MD

Family Medicine

NPI 1588646632

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address July 07, 2025

Registered at 106 NATE WHIPPLE HWY STE 101, CUMBERLAND, RI 028641403 (Tel: 4016582020)

✅

NPI Profile Active February 08, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 08, 2010

Registered at 106 NATE WHIPPLE HWY, CUMBERLAND, RI 028641403 (Tel: 4016582020)

📍

Updated Business Mailing Address February 08, 2010

Registered at PO BOX 27, MANVILLE, RI 028380027 (Tel: 8009270002)

👤

Provider Name / Credentials Updated February 08, 2010

Recorded as SCOTT WILSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2010

Internal Medicine (License #MD10225 in RI)

🟢

Initial NPI Registration & Enumeration July 06, 2005

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: 1619974672

Entity Type:

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

Enumeration Date: July 06, 2005

Last Update: July 07, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

106 Nate Whipple Hwy Ste 101

Cumberland, RI 028641403

Phone: 4016582020

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.