MIGUEL A SCHMITZ MD
NPI 1023031119
Orthopaedic Surgery in Spokane Valley, WA

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
93.57/100
CMS Quality Rating
1123 N EVERGREEN RD, SPOKANE VALLEY, WA 99216(509) 435-0973(509) 435-0978 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miguel A Schmitz Md NPPES

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

MIGUEL A SCHMITZ MD (NPI 1023031119) is an individual orthopaedic surgery provider in Spokane Valley, Washington, licensed in Washington (MD00038062) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Multicare Valley Hospital, and is a graduate of University Of Washington School Of Medicine (1990).

NPPES Registry Identity

NPI1023031119
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMIGUEL A SCHMITZCredential: MD
Location Address1123 N EVERGREEN RDSpokane Valley, WA 99216-1138
Mailing AddressPo Box 7521Spokane, WA 99207-0408 · (509) 435-0973 · Fax (509) 435-0978
Fax(509) 435-0978
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1990
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
NPI 1023031119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WA · MD00038062
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1123 N EVERGREEN RD, Spokane Valley, WA 99216

Other Identifiers 1

Medicaid8511032WA

Accepted Insurance

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

Miguel A Schmitz Md 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 ID7113911967
PECOS Enrollment IDI20080714000701
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services26 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
29 services29 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
26 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Multicare Valley Hospital

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500119
Location12606 East Mission AvenueSpokane, WA 99216 · Spokane County
Emergency services Birthing friendly

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501326
Location982 East ColumbiaColville, WA 99114 · Stevens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99216 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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.

93.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.33
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
35%236 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
64%162 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,934 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
77%252 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%992 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%911 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%1,525 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 88% · 664 patients
Patients screened: 97% · 664 patients
57%141 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
73%375 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 274 patients
Patients totalRate: 1% · 275 patients
0%275 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier11 claims11 services$3,756.09 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 15

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

Nurse Practitioner
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Neurological Surgery
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Chiropractor
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Anesthesiology (Pain Medicine)
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Anesthesiology (Pain Medicine)
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Chiropractor
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Physician Assistant
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Anesthesiology (Pain Medicine)
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216

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 Miguel Schmitz's NPI number?

The NPI number for Miguel Schmitz is 1023031119. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Miguel Schmitz located?

Miguel Schmitz practices at 1123 N Evergreen Rd, Spokane Valley, WA 99216. The listed phone number is (509) 435-0973.

What is Miguel Schmitz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Miguel Schmitz enrolled in Medicare?

Yes. Miguel Schmitz 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.

What insurance does Miguel Schmitz accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Miguel Schmitz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Miguel Schmitz affiliated with any hospitals?

According to CMS data, Miguel Schmitz is affiliated with Multicare Valley Hospital and Providence Mount Carmel Hospital.

When was this NPI record last updated?

The NPPES record for Miguel Schmitz was last updated on July 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.