Individual provider Active NPI

Wayne H Scheidemann, M.D.

  • Orthopaedic Surgery Physician
  • Lakeport, CA
National Provider Identifier
1255332797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G61678 Issued in CA
Practice address
755 11TH St
Lakeport, CA 95453-3705
Phone
(707) 263-3602
Fax
(707) 263-3619
NPI assigned
Aug 9, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G61678 CA Primary

Addresses

Primary practice location

755 11TH St
Lakeport, CA 95453-3705

Mailing address

755 11TH St
Lakeport, CA 95453-3705
Phone (707) 263-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080710000799 CA Practitioner - Orthopedic Surgery 1153493937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay HospitalsGroup PAC ID 3476506528, 45 clinicians

Practice addresses (Care Compare)

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 262-5000

5196 Hill Rd E
Suite 300
Lakeport, CA 95453-6374
Phone (707) 263-6885

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.74 of 100Reported as group
Quality
80.2
Promoting interoperability
100
Improvement activities
40
Cost
76.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Hospitals CurrentSince Jan 20, 2022 Accepting new patients
Sutter Bay Hospitals Current Accepting new patients
Sutter Bay Hospitals CurrentSince Jan 20, 2022 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

5196 Hill Rd E
Ste 300
Lakeport, CA 95453
Phone (707) 263-6885

987 Parallel Dr
Ste C
Lakeport, CA 95453
Phone (707) 262-5000

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

Interoperability endpoints

  • Direct secure messaging: wayne.scheidemann@avera.sdhealthlink.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255332797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 11TH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954533705",
            "telephone_number": "707-263-3602",
            "fax_number": "707-263-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 11TH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954533705",
            "telephone_number": "707-263-3602",
            "fax_number": "707-263-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIDEMANN",
        "first_name": "WAYNE",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G61678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

Verify at the official NPI Registry.