SCOTT W SCHWIESOW MD
NPI 1164834024
Surgery in Shiloh, IL

NPI Status: Active since May 27, 2014

Contact Information

1414 CROSS STREET
SUITE 330
SHILOH, IL
ZIP 62269
Phone: (618) 277-7400
Fax: (618) 277-7422

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  • Individual
  • Male
  • Years of Experience 12
  • Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SCOTT SCHWIESOW

This page provides the complete NPI Profile along with additional information for Scott Schwiesow, a provider established in Shiloh, Illinois with a medical specialization in Surgery and more than 12 years of experience. He graduated from Saint Louis University School Of Medicine in 2014. The healthcare provider is registered in the NPI registry with number 1164834024 assigned on May 2014. The practitioner's primary taxonomy code is 208600000X with license number 036164565 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1164834024
Provider Name
SCOTT W SCHWIESOW MD
Gender
Male
Entity Type
Individual
Location Address
1414 CROSS STREET SUITE 330 SHILOH, IL 62269
Location Phone
(618) 277-7400
Location Fax
(618) 277-7422
Mailing Address
1414 CROSS STREET SUITE 330 SHILOH, IL 62269
Mailing Phone
(618) 277-7400
Mailing Fax
(618) 277-7422
Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
05-27-2014
Last Update Date
03-20-2024
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A surgeon like Scott Schwiesow treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
036164565
License State
IL
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

29484 (NE)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Gold S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • WellFirst by Medica Bronze $0 Copay PCP Visits - EPO
  • WellFirst by Medica Bronze Share - EPO
  • WellFirst by Medica Catastrophic - EPO
  • WellFirst by Medica Expanded Bronze Standard - EPO
  • WellFirst by Medica Gold $0 Copay PCP Visits - EPO
  • WellFirst by Medica Gold Copay Plus - EPO
  • WellFirst by Medica Gold Standard - EPO
  • WellFirst by Medica Silver $0 Copay PCP Visits - EPO
  • WellFirst by Medica Silver Copay Plus - EPO
  • WellFirst by Medica Silver Standard - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Bronze Value (Rx Copay, No Referrals) - HMO
  • UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Gold Standard (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Advantage (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus (No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Scott Schwiesow is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Scott Schwiesow is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8022331743

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230719001375

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Colonoscopy

A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.

This service was performed for 1-10 patients

Hernia repair (minimally invasive)

Hernia repair is a surgery to fix a hernia - a condition where an organ pushes through an opening in the muscle or tissue that holds it in place. Minimally invasive hernia repair involves small incisions, a tiny camera, and special surgical tools. This method often leads to quicker recovery, less pain, and reduced scarring compared to traditional surgery.

This service was performed for 1-10 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.11 for a new patient copayment and $17.6 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 62269 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.44
  • Minimum New Patient Price $56.28
  • Maximum New Patient Price $173.35
  • Average New Patient Copayment $22.11
  • Minimum New Patient Copayment $14.07
  • Maximum New Patient Copayment $43.33

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.42
  • Minimum Established Patient Price $17.51
  • Maximum Established Patient Price $139.99
  • Average Established Patient Copayment $17.6
  • Minimum Established Patient Copayment $4.37
  • Maximum Established Patient Copayment $34.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Scott Schwiesow is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MEMORIAL HOSPITAL4500 MEMORIAL DRIVE
BELLEVILLE, IL 62226
(618) 233-7750Acute Care Hospitals
HSHS ST ELIZABETH'S HOSPITALONE ST ELIZABETH BOULEVARD
O FALLON, IL 62269
(618) 234-2120Acute Care Hospitals
ST JOSEPH'S HOSPITAL12866 TROXLER AVENUE
HIGHLAND, IL 62249
(618) 651-2600Critical Access Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164834024
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124163804
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 6 + 3 + 8 + 0 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1164834024 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053595538DR. PAUL E LOETHEN MD
Individual
Surgery1414 CROSS STREET SUITE 330
SHILOH, IL 62269
(618) 277-7400
1376713826DR. THOMAS VINH LUONG MD
Individual
Surgery1414 CROSS STREET SUITE 330
SHILOH, IL 62269
(618) 277-7400
1508817040 DOUGLAS B AACH MD
Individual
Surgery1414 CROSS STREET SUITE 330
SHILOH, IL 62269
(618) 277-7400
1538540679DR. MATTHEW R SMITH DO
Individual
Surgery1414 CROSS STREET SUITE 330
SHILOH, IL 62269
(618) 277-7400
1770531956DR. JAMES C CLANAHAN MD
Individual
Surgery1414 CROSS STREET SUITE 330
SHILOH, IL 62269
(618) 277-7400
1801814108 MICHAEL A BERGOM MD
Individual
Surgery1414 CROSS STREET SUITE 330
SHILOH, IL 62269
(618) 277-7400
1932166030DR. KEVIN T BARNETT MD
Individual
Surgery1414 CROSS STREET SUITE 330
SHILOH, IL 62269
(618) 277-7400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164834024, enumerated in the NPI registry as an "individual" on May 27, 2014

The provider is located at 1414 Cross Street Suite 330 Shiloh, Il 62269 and the phone number is (618) 277-7400

The provider's speciality is Surgery with taxonomy code 208600000X

The provider has more than 12 years of experience. He graduated from Saint Louis University School Of Medicine in 2014.

The provider might be accepting Accepts: Aetna CVS Health, Medica and UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $88.44 with an average copayment of $22.11 for new patient appointments. Established patients should expect a typical charge of $70.42 and an average copayment of 17.6. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Colonoscopy and Hernia repair (minimally invasive).

The practitioner is affiliated to the following hospital(s): MEMORIAL HOSPITAL, HSHS ST ELIZABETH'S HOSPITAL and ST JOSEPH'S HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 27, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.