Donald Scholten, MD PHD
NPI 1386176964 · Orthopaedic Surgery Physician · Traverse City, MI
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donald Scholten, MD PHD is a Orthopaedic Surgery Physician provider in Traverse City, MI (NPI 1386176964).
Provider details
- NPI number
- 1386176964
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 2025-02380 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
161 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 37 | $83 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 35 | $159 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 23 | $106 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 20 | $59 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 17 | $30 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 22 | 16 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,281 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 8872 Professional Dr Ste BCadillac, MI 49601-8482Phone: (231) 779-0320Fax: (231) 935-3474
- 1345 E Parkdale AveManistee, MI 49660-9318Phone: (231) 398-1750
- 1 Medical Center BlvdWinston Salem, NC 27157-0001Phone: (336) 716-3448
Registry dates
- Enumerated
- 2017-04-01
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Frequently asked questions
- What is Donald Scholten's NPI number?
- Donald Scholten's National Provider Identifier (NPI) is 1386176964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donald Scholten's specialty?
- Donald Scholten is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Donald Scholten located?
- Donald Scholten's practice location on file with NPPES is 3537 W Front St Ste E, Traverse City, MI 49684-7943.
- What is Donald Scholten's phone number?
- The practice phone number listed in the NPPES registry for Donald Scholten is (231) 935-5880.
- Does Donald Scholten accept Medicare?
- Donald Scholten is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donald Scholten's NPI active?
- Yes — Donald Scholten's NPI (1386176964) is active in the NPPES registry as of the last update on 2025-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.