Active NPI 1053497362 Individual Practitioner Male Practitioner

Dr. Scott C Hicks , MD

Orthopaedic Surgery • Menomonee Falls, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Hicks, MD is a certified Orthopaedic Surgery practicing in Menomonee Falls, WI. With approximately 21 years of clinical experience since graduating from Medical College Of Wisconsin in 2005, Dr. Hicks delivers high-quality medical care to the local community at W129N7055 NORTHFIELD DR.

Dr. Hicks is affiliated with Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

W129n7055 Northfield Dr
Orthopaedic Surgery

Menomonee Falls, WI 530510538

Telephone 2622535400

Fax 2622533399

Associated Practice Facility / Clinic

🏢 Froedtert Memorial Lutheran Hospital, Inc. Facility NPI 1013450006

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Menomonee Falls, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs Matches City Avg

City Avg: 21.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

8 Specialists

Practicing in Menomonee Falls, WI (688 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hicks (21 Years) 21 Yrs

Menomonee Falls Specialty Average (21.0 Years) 21.0 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
J1010 Injection, methylprednisolone acetate, 1 mg	10,081	81	$1.00	$0.13
20610 Aspiration and/or injection of fluid from large joint	220	127	$585.21	$66.34
99213 Established patient office or other outpatient visit, typically 15 minutes	183	135	$264.86	$85.76
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	94	28	$411.00	$118.98
J1040 Injection, methylprednisolone acetate, 80 mg	44	38	$33.00	$9.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$410.06	$123.17
27447 Replacement of knee joint, both sides of knee	32	32	$10641.16	$1175.69
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$392.25	$77.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$405.43	$105.63
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$9177.36	$1295.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	321	216	$260.00	$85.44
20610 Aspiration and/or injection of fluid from large joint	291	157	$563.75	$65.80
J1040 Injection, methylprednisolone acetate, 80 mg	256	139	$31.95	$11.78
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	94	30	$411.00	$126.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$393.30	$105.78
27447 Replacement of knee joint, both sides of knee	22	20	$10694.68	$1203.93
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$370.00	$77.68
23472 Prosthetic repair of shoulder joint, total shoulder	13	12	$8714.85	$1328.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	320	227	$256.65	$86.42
20610 Aspiration and/or injection of fluid from large joint	245	160	$559.34	$67.36
J1040 Injection, methylprednisolone acetate, 80 mg	204	124	$30.65	$10.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$381.90	$105.08
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	63	21	$404.14	$130.50
J1030 Injection, methylprednisolone acetate, 40 mg	59	25	$16.00	$5.26
27447 Replacement of knee joint, both sides of knee	24	23	$9937.71	$1184.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$379.82	$123.09
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$8519.36	$1336.29
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$365.15	$93.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$252.73	$67.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	276	190	$248.78	$87.89
20610 Aspiration and/or injection of fluid from large joint	261	150	$549.17	$66.82
J1040 Injection, methylprednisolone acetate, 80 mg	236	141	$29.47	$10.42
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	100	27	$392.76	$132.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$370.50	$103.80
27447 Replacement of knee joint, both sides of knee	24	23	$9660.25	$1207.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$363.00	$125.34
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$8269.64	$1326.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	318	207	$242.97	$72.89
20610 Aspiration and/or injection of fluid from large joint	266	155	$551.17	$67.46
J1040 Injection, methylprednisolone acetate, 80 mg	240	132	$28.61	$11.54
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	96	22	$384.42	$144.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$362.38	$104.01
27447 Replacement of knee joint, both sides of knee	15	13	$9444.40	$1298.42
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$342.85	$98.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	368	241	$237.50	$71.22
20610 Aspiration and/or injection of fluid from large joint	314	174	$553.20	$65.39
J1040 Injection, methylprednisolone acetate, 80 mg	248	141	$27.45	$12.00
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	134	34	$374.66	$139.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$354.20	$101.92
J1030 Injection, methylprednisolone acetate, 40 mg	67	25	$16.00	$6.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	19	$142.00	$43.63
27447 Replacement of knee joint, both sides of knee	24	23	$9332.19	$1289.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$237.31	$70.57
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$242.00	$73.76
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$7269.38	$1014.36
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$2052.09	$166.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	428	119	$16.00	$6.67
99213 Established patient office or other outpatient visit, typically 15 minutes	303	192	$235.00	$69.60
20610 Aspiration and/or injection of fluid from large joint	216	131	$553.15	$65.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$351.00	$100.29
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	76	23	$372.00	$144.23
J1040 Injection, methylprednisolone acetate, 80 mg	14	13	$27.00	$13.11
27447 Replacement of knee joint, both sides of knee	13	13	$9125.00	$1271.76
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$331.00	$96.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	312	192	$235.00	$69.68
J1030 Injection, methylprednisolone acetate, 40 mg	256	96	$16.00	$5.93
20610 Aspiration and/or injection of fluid from large joint	254	132	$515.81	$63.24
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	116	30	$372.00	$151.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$352.85	$102.14
J1040 Injection, methylprednisolone acetate, 80 mg	83	59	$27.00	$10.34
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$331.00	$96.59

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 49679

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1053497362 (WI)

Hospital & Practice Group Affiliations

Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc

W129n7055 Northfield Dr, Menomonee Falls, WI 530510538

Phone: 2622535400

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Physical Therapist

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Doctor of Physical Therapy

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Physician Assistant

NPI 1093711236

Physician Assistant (Certified)

Dr. Todd Hirschtritt , MD

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Doctor of Medicine (M.D.)

Dr. Joseph Shaker , MD

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Doctor of Medicine (M.D.)

Dr. William Krombholz , PharmD

Pharmacist

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Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 17, 2015

Registered at W129N7055 NORTHFIELD DR, ORTHOPAEDIC SURGERY, MENOMONEE FALLS, WI 530510538 (Tel: 2622535400)

📍

Updated Business Mailing Address April 17, 2015

Registered at W129N7055 NORTHFIELD DR, ORTHOPAEDIC SURGERY, MENOMONEE FALLS, WI 530510538 (Tel: 2622535400)

👤

Provider Name / Credentials Updated April 17, 2015

Recorded as SCOTT HICKS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2015

Orthopaedic Surgery (License #49679 in WI)

🟢

Initial NPI Registration & Enumeration October 29, 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: 1053497362

Entity Type:

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

Enumeration Date: October 29, 2006

Last Update: April 17, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

W129n7055 Northfield Dr, Orthopaedic Surgery

Menomonee Falls, WI 530510538

Phone: 2622535400

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.