Dr. Scott Kenneth Hetzel , MD
Internal Medicine • Berlin, WI
225 Memorial Dr
Berlin, WI 549231243
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. Scott Hetzel is listed in NPPES under Internal Medicine.
-
NPI assigned on April 15, 2018; this date does not establish years in practice.
-
Published CMS data list 1,221 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 351 service units.
- 85610 — Blood test, clotting time: 137 service units.
- G0439 — Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 133 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 15 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 10,629 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Atorvastatin Calcium — 709 prescription fills, including refills.
- Amlodipine Besylate — 527 prescription fills, including refills.
- Omeprazole — 467 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 146 records in the table · Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 80% of clinicians listed under Internal Medicine in Wisconsin (2024, 1,004 clinicians with data). Median for this group: 572. Middle half: 268 to 1,020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 155 in 2021 to 1,221 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021–2024.
Practice Location & Contact Primary Location
225 Memorial Dr
Berlin, WI 549231243
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Madison, WI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Thedacare, Incorporated. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
University Of Wisconsin School Of Medicine
2018
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
209 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $109,095 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $90,267 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
25,443 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,031,775 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Dr. Hetzel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Hetzel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Berlin and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Internal Medicine in Wisconsin (2024, 1,004 clinicians with data). Median for this group: 572. Middle half: 268 to 1,020.
Too few clinicians listed under Internal Medicine in Berlin have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in Wisconsin (2024, 1,004 clinicians with data). Median for this group: $49,221. Middle half: $25,275 to $85,651.
Too few clinicians listed under Internal Medicine in Berlin have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Internal Medicine in Wisconsin (2024, 1,004 clinicians with data). Median for this group: $38,029. Middle half: $18,692 to $65,342.
Too few clinicians listed under Internal Medicine in Berlin have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Internal Medicine in Wisconsin (2024, 1,161 clinicians with data). Median for this group: 2,267. Middle half: 141 to 7,633.
Too few clinicians listed under Internal Medicine in Berlin have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Internal Medicine in Wisconsin (2024, 1,161 clinicians with data). Median for this group: $177,212. Middle half: $8,078 to $595,254.
Too few clinicians listed under Internal Medicine in Berlin have Medicare Part D data for 2024 to compare.
4 active clinicians are listed under Internal Medicine with a practice address in Berlin, WI (2,083 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 688% from 155 in 2021 to 1,221 in 2024.
- 2021: 155
- 2022: 964
- 2023: 967
- 2024: 1,221
-
Medicare-allowed amount
Medicare-allowed amount increased 714% from $13,400 in 2021 to $109,095 in 2024.
- 2021: $13,400
- 2022: $77,838
- 2023: $82,334
- 2024: $109,095
-
Paid by Medicare
Paid by Medicare increased 693% from $11,384 in 2021 to $90,267 in 2024.
- 2021: $11,384
- 2022: $62,779
- 2023: $64,975
- 2024: $90,267
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 4274% from 243 in 2020 to 10,629 in 2024.
- 2020: 243
- 2021: 392
- 2022: 4,215
- 2023: 9,696
- 2024: 10,629
-
30-day fills
30-day fills increased 5051% from 494 in 2020 to 25,443 in 2024.
- 2020: 494
- 2021: 865
- 2022: 9,691
- 2023: 22,888
- 2024: 25,443
-
Part D drug cost
Part D drug cost increased 22733% from $4,519 in 2020 to $1,031,775 in 2024.
- 2020: $4,519
- 2021: $24,981
- 2022: $334,998
- 2023: $1,050,679
- 2024: $1,031,775
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2021–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
351 | 169 | $389.80 | $120.43 |
|
85610
Blood test, clotting time
|
137 | 12 | $21.40 | $4.20 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
133 | 133 | $434.70 | $121.73 |
|
G2211
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
|
98 | 67 | $61.60 | $15.42 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
86 | 73 | $263.00 | $85.33 |
|
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
|
67 | 67 | $635.60 | $290.85 |
|
G0009
Administration of pneumococcal vaccine
|
67 | 67 | $77.20 | $30.42 |
|
36415
Insertion of needle into vein for collection of blood sample
|
61 | 46 | $13.00 | $8.65 |
|
90480
Admn sarscov2 vacc 1 dose
|
51 | 46 | $110.10 | $40.56 |
|
91322
Sarscov2 vac 50 mcg/0.5ml im
|
51 | 46 | $300.20 | $149.65 |
|
G0008
Administration of influenza virus vaccine
|
35 | 34 | $77.20 | $30.42 |
|
90662
Influenza vaccine split virus, preservative free
|
34 | 33 | $149.20 | $80.07 |
|
69209
Removal of impacted ear wax by washing
|
20 | 20 | $70.60 | $14.84 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
18 | 15 | $520.60 | $168.86 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
12 | 12 | $571.40 | $194.35 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 709 | 57,908 | $8,141.07 | 197 |
| Amlodipine Besylate | Amlodipine Besylate | 527 | 42,253 | $3,733.95 | 161 |
| Omeprazole | Omeprazole | 467 | 36,961 | $7,983.39 | 137 |
| Levothyroxine Sodium | Levothyroxine Sodium | 430 | 34,462 | $6,070.44 | 110 |
| Losartan Potassium | Losartan Potassium | 378 | 29,107 | $4,334.61 | 109 |
| Lisinopril | Lisinopril | 332 | 28,204 | $3,321.21 | 92 |
| Eliquis | Apixaban | 325 | 18,406 | $344,747.63 | 71 |
| Pravastatin Sodium | Pravastatin Sodium | 285 | 23,556 | $4,329.19 | 86 |
| Metoprolol Succinate | Metoprolol Succinate | 248 | 19,223 | $5,663.15 | 84 |
| Gabapentin | Gabapentin | 235 | 14,277 | $6,044.58 | 62 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 212 | 18,494 | $3,418.61 | 70 |
| Metformin Hcl Er | Metformin Hcl | 204 | 17,286 | $2,416.92 | 67 |
| Pantoprazole Sodium | Pantoprazole Sodium | 201 | 15,792 | $2,853.76 | 66 |
| Carvedilol | Carvedilol | 192 | 14,905 | $1,809.10 | 56 |
| Hydrochlorothiazide | Hydrochlorothiazide | 185 | 14,939 | $872.36 | 53 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 159 | 4,125 | $2,784.12 | 22 |
| Warfarin Sodium | Warfarin Sodium | 153 | 12,169 | $1,380.73 | 45 |
| Allopurinol | Allopurinol | 152 | 13,281 | $2,366.68 | 41 |
| Furosemide | Furosemide | 149 | 10,736 | $1,074.45 | 56 |
| Duloxetine Hcl | Duloxetine Hcl | 149 | 11,274 | $3,516.32 | 41 |
| Escitalopram Oxalate | Escitalopram Oxalate | 148 | 10,321 | $1,595.36 | 40 |
| Tamsulosin Hcl | Tamsulosin Hcl | 139 | 10,176 | $2,489.14 | 39 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 132 | 4,342 | $4,105.43 | 67 |
| Pregabalin | Pregabalin | 128 | 5,354 | $4,737.84 | 29 |
| Simvastatin | Simvastatin | 122 | 10,158 | $1,555.59 | 40 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-07-22NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20210803002242
WI
9537416144
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Thedacare, Incorporated
225 Memorial Dr, Berlin, WI 549231243
Phone: 9203611313
Secondary Practice Locations
600 Highland Ave
Madison, WI 537920001
Phone: 6082636400
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Nurse Prescriber
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 225 MEMORIAL DR, BERLIN, WI 549231243 (Tel: 9203615770)
Registered at 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9203615770)
Additional practice office at 600 Highland Ave, Madison, WI 537920001
Recorded as SCOTT HETZEL, MD
Internal Medicine (license number reported to NPPES: WI 73446-20)
NPI status registered as active in NPPES database
Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082636400)
Registered at 600 HIGHLAND AVE, MADISON, WI 537920001
Recorded as SCOTT HETZEL
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
3 Neenah Ctr
Neenah, WI 549563070
Phone: 9203615770