Dr. Scott Wilson, MD
106 Nate Whipple Hwy, Cumberland, RI 02864 • +1-308-555-8305
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Cumberland Percentiles
NPI #1619974672 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across RI Internal Medicine providers positions Dr. Scott Wilson, MD in Cumberland at -0.26σ (25th city percentile / 21.55th state percentile, 146 Medicare beneficiaries), with clinical focus spanning 34 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Wilson (averaging 5.0 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 44% of tracked volume (322 encounters), paired with 99213 (186x).
Direct cash-pay transparency modeling sets Dr. Wilson's baseline new-consult rate near $209.00 in Cumberland, RI (cash-pay accepted, hybrid in-clinic and telehealth video consults, 20-minute average reception wait).
Credentialed as an MD specialist with 29 years post-graduation experience since completing medical school at an LCME/COCA institution (1997), Dr. Wilson coordinates 34 Active CMS HCPCS Codes workups from 106 Nate Whipple Hwy (+1-308-555-8305).
Compared against Cumberland, RI Internal Medicine peers
735 annual services across 146 beneficiaries
Standard deviations from RI Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 322 | 25th | $102 – $139 |
| 99213 | Established Preventive & Chronic Care Visit | 186 | 27th | $78 – $107 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 93 | 20th | $37 – $52 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 72 | 21th | $119 – $164 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 43 | 23th | $141 – $194 |
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Dr. Scott Wilson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wilson National Provider Identifier | NPI #1619974672 (MD) | CMS NPPES Registry (02864) |
| Dr. Wilson Cumberland CMS Volume Rank | 25.00th Pct (735 CMS svcs; Z -0.258σ) | CMS Medicare Part B (RI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Cumberland, RI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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