Scott Kolbaba, MD
NPI 1396776613 · Internal Medicine Physician · Wheaton, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scott Kolbaba, MD is a Internal Medicine Physician provider in Wheaton, IL (NPI 1396776613).
Provider details
- NPI number
- 1396776613
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036060253 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,633 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 | 469 | $96 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 384 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 364 | $135 |
| Urinalysis, Manual Test81002 | 298 | $3 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 274 | $191 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 102 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 275 | 82 |
| Rosuvastatin Calcium | 263 | 101 |
| Metoprolol Succinate | 160 | 64 |
| Amlodipine Besylate | 144 | 36 |
| Atorvastatin Calcium | 135 | 47 |
| Furosemide | 131 | 39 |
| Prednisone |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,529 across 81 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
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2007-08-24
Frequently asked questions
- What is Scott Kolbaba's NPI number?
- Scott Kolbaba's National Provider Identifier (NPI) is 1396776613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Kolbaba's specialty?
- Scott Kolbaba is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Scott Kolbaba located?
- Scott Kolbaba's practice location on file with NPPES is 7 Blanchard Cir, Wheaton, IL 60187-1037.
- What is Scott Kolbaba's phone number?
- The practice phone number listed in the NPPES registry for Scott Kolbaba is (630) 580-7600.
- Does Scott Kolbaba accept Medicare?
- Scott Kolbaba is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Scott Kolbaba's NPI active?
- Yes — Scott Kolbaba's NPI (1396776613) is active in the NPPES registry as of the last update on 2007-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.