MARLENE SCHWARTZ M.D.
NPI 1003892829
Internal Medicine - Pulmonary Disease in Willimantic, CT

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
112 MANSFIELD AVE, PULMONARY DISEASE DIVISION, HATCH WING, WILLIMANTIC, CT 06226(860) 456-7279(860) 450-0269 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marlene Schwartz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLENE SCHWARTZ M.D. (NPI 1003892829) is an individual pulmonary disease provider in Willimantic, Connecticut, licensed in Connecticut (037545) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1988).

NPPES Registry Identity

NPI1003892829
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMARLENE SCHWARTZCredential: M.D.
Location Address112 MANSFIELD AVE, PULMONARY DISEASE DIVISION, HATCH WINGWillimantic, CT 06226-2045
Mailing Address112 Mansfield Ave, Pulmonary Disease Division, Hatch WingWillimantic, CT 06226-2045 · (860) 456-7279 · Fax (860) 450-0269
Fax(860) 450-0269
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1988
Enumeration DateDecember 22, 2005
Last NPPES UpdateDecember 17, 2009
NPI 1003892829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CT · 037545
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
112 MANSFIELD AVE, Willimantic, CT 06226

Other Identifiers 3

Medicare ID-Type Unspecified290000424CT
Other1003892829CT · Npi
Medicare UPINF87318CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marlene Schwartz M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921037334
PECOS Enrollment IDI20060109000838
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers100 claims100 services$37.59 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers100 claims100 services$93.83 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers92 claims185 services$33.55 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers22 claims115 services$20.53 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers36 claims36 services$62.56 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers76 claims76 services$19.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
General Acute Care Hospital
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Emergency Medicine
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Midwife
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Emergency Medicine
112 MANSFIELD AVE, WINDHAM HOSPITAL
WILLIMANTIC, CT 06226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlene Schwartz's NPI number?

The NPI number for Marlene Schwartz is 1003892829. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Marlene Schwartz located?

Marlene Schwartz practices at 112 Mansfield Ave Pulmonary Disease Division, Hatch Wing, Willimantic, CT 06226. The listed phone number is (860) 456-7279.

What is Marlene Schwartz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Marlene Schwartz enrolled in Medicare?

Yes. Marlene Schwartz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marlene Schwartz was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.