Active NPI 1245297944 Individual Practitioner Male Practitioner

Scott A Bilse , PA-C

Physician Assistant • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Scott Bilse, PA-C is a certified Physician Assistant practicing in Madison, WI. With approximately 27 years of clinical experience since completing medical education in 1999, Scott Bilse delivers high-quality medical care to the local community at 1211 FISH HATCHERY RD..

Scott Bilse is affiliated with Dean Health Systems Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, injection, methylprednisolone acetate, 80 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1211 Fish Hatchery Rd.

Madison, WI 537151909

Telephone 6082528000

Fax 6082886495

Associated Practice Facility / Clinic

🏢 Dean Health Systems, Inc Facility NPI 1053358846

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Madison, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +15.0 yrs vs City Avg

City Avg: 12.0 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

397 Specialists

Practicing in Madison, WI (3517 Statewide)

Telehealth Adoption Rate

18.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bilse (27 Years) 27 Yrs

Madison Specialty Average (12.0 Years) 12.0 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	65	41	$256.00	$72.46
20610 Aspiration and/or injection of fluid from large joint	21	16	$730.00	$61.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	26	$236.14	$73.36
J1040 Injection, methylprednisolone acetate, 80 mg	24	17	$48.96	$11.22
20610 Aspiration and/or injection of fluid from large joint	21	18	$603.33	$59.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$336.00	$90.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	52	38	$212.00	$73.45
J1040 Injection, methylprednisolone acetate, 80 mg	23	18	$37.00	$11.13
20610 Aspiration and/or injection of fluid from large joint	20	18	$613.35	$64.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	22	13	$35.00	$10.62
20610 Aspiration and/or injection of fluid from large joint	16	13	$563.75	$61.62
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$201.00	$72.37
29823 Removal of extensive shoulder joint tissue using an endoscope	15	15	$6103.00	$15.38
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$5073.00	$34.20
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$5418.00	$20.97
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$7361.00	$126.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	14	$191.00	$61.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$281.00	$90.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	32	$184.95	$59.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$278.00	$87.30
20610 Aspiration and/or injection of fluid from large joint	28	19	$445.81	$54.64
J1040 Injection, methylprednisolone acetate, 80 mg	27	15	$36.07	$11.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	55	28	$39.65	$12.96
99213 Established patient office or other outpatient visit, typically 15 minutes	52	34	$184.00	$62.28
20610 Aspiration and/or injection of fluid from large joint	44	32	$458.73	$57.67
27447 Replacement of knee joint, both sides of knee	37	37	$13326.00	$182.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$273.00	$89.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	26	$180.00	$59.44
20610 Aspiration and/or injection of fluid from large joint	30	22	$440.80	$54.34
27447 Replacement of knee joint, both sides of knee	29	29	$13900.40	$177.53
J1040 Injection, methylprednisolone acetate, 80 mg	27	17	$39.59	$11.23
27130 Replacement of thigh bone and hip joint with prosthesis	21	21	$17126.49	$174.71

Medical Specialties & State Licenses

CMS Verified: 2022-02-10

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 1144-23

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1245297944 (WI)

Hospital & Practice Group Affiliations

Dean Health Systems Inc

700 S Park St, Madison, WI 537151830

Phone: 6082602900

Dean Health Systems Inc

515 22nd Ave, Monroe, WI 535661569

Phone: 6083242000

Dean Health Systems Inc

1211 Fish Hatchery Rd, Madison, WI 537151909

Phone: 6082528000

Dean Health Systems Inc

700 S Park St, Madison, WI 537151830

Phone: 6082516100

Dean Health Systems Inc

2850 Okeeffe Ave, Sun Prairie, WI 535907077

Phone: 6082822000

Dean Health Systems Inc

2840 Okeeffe Ave, Sun Prairie, WI 535907077

Phone: 6082298484

Secondary Practice Locations

1313 Fish Hatchery Rd, Dean Medical Center

Madison, WI 537151911

Phone: 6082528000

2501 W Beltline Hwy Ste 601

Madison, WI 537132309

Phone: 6082946464

Practice Associates & Co-Workers

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

40 Associated Practitioners

Chandler Reinholtz , PT

Physical Therapist

NPI 1023787207

Physical Therapist

Dr. Yamil Arbaje , MD

Internal Medicine - Hematology & Oncology

NPI 1033162904

Doctor of Medicine (M.D.)

Ann Herrold-Peterson , LCSW

Social Worker - Clinical

NPI 1033175260

Licensed Clinical Social Worker

Dr. Katherine Moriarty , MD

Pediatrics

NPI 1043251440

Doctor of Medicine (M.D.)

Dr. Jason Isenberg , MD

Otolaryngology

NPI 1043262439

Doctor of Medicine (M.D.)

Jan Schubert , MA

Social Worker - Clinical

NPI 1043404692

Master of Arts

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location February 21, 2022

Registered at 1211 FISH HATCHERY RD., MADISON, WI 537151909 (Tel: 6082528000)

📍

Updated Business Mailing Address February 21, 2022

Registered at 1211 FISH HATCHERY RD., MADISON, WI 537151909 (Tel: 6082528000)

📍

Updated Practice Location November 03, 2020

Registered at 2501 W BELTLINE HWY STE 601, MADISON, WI 537132309 (Tel: 6082946464)

📍

Updated Business Mailing Address March 15, 2018

Registered at 2501 W BELTLINE HWY STE 601, MADISON, WI 537132309 (Tel: 6082946464)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2018

Physician Assistant (License #1144-23 in WI)

✅

NPI Profile Active May 06, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 06, 2008

Registered at 1313 FISH HATCHERY RD, DEAN MEDICAL CENTER, MADISON, WI 537151911 (Tel: 6082528000)

📍

Updated Business Mailing Address May 06, 2008

Registered at 1313 FISH HATCHERY RD, DEAN MEDICAL CENTER, MADISON, WI 537151911 (Tel: 6082528000)

👤

Provider Name / Credentials Updated May 06, 2008

Recorded as SCOTT BILSE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2008

Physician Assistant (License #1144-023 in WI)

🟢

Initial NPI Registration & Enumeration April 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245297944

Entity Type:

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

Enumeration Date: April 27, 2006

Last Update: February 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1211 Fish Hatchery Rd.

Madison, WI 537151909

Phone: 6082528000

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.