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TONYA M SCHMAUDER LISW
NPI 1043729114
Social Worker - Clinical in New Albany, OH

Active since September 21, 2017PECOS Enrolled
95.31/100
CMS Quality Rating
150 W MAIN ST, NEW ALBANY, OH 43054(614) 293-9600(614) 366-1215 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 12, 2026, Jan 13, 2026, Oct 25, 2017 and 1 more (4 updates tracked since 2017).

About Tonya M Schmauder Lisw NPPES

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

TONYA M SCHMAUDER LISW (NPI 1043729114) is an individual clinical provider in New Albany, Ohio, licensed in Ohio (I.1201449-SUPV) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Upper Arlington.

NPPES Registry Identity

NPI1043729114
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTONYA M SCHMAUDERCredential: LISW
Location Address150 W MAIN STNew Albany, OH 43054-9229
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-9600 · Fax (614) 366-1215
Phone(614) 293-9600
Fax(614) 366-1215
Sole ProprietorNo
Enumeration DateSeptember 21, 2017
Last NPPES UpdateMay 12, 20264 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1043729114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.1201449-SUPV
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
150 W MAIN ST, New Albany, OH 43054
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 Zollinger RdUpper Arlington, OH 43221-2849 · Phone (614) 293-9600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tonya M Schmauder Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tonya Schmauder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osu Observation Medicine, LLC
13 mi
Anesthesiology
410 W 10TH AVE
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 551 clinicians in this Medicare group
NPI 1407095052 (614) 293-8487
Osu Psychiatry, LLC
13 mi
Clinical Child & Adolescent
1670 UPHAM DR, SUITE 140
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 177 clinicians in this Medicare group
NPI 1194773317 (614) 293-9600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43054 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
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

KELSEY BODNAR HALLORAN
Physical Therapist
150 W MAIN ST
NEW ALBANY, OH 43054
Franklin County (614) 722-2200
CHRISTOPHER SZULC PT
Physical Therapist (Pediatrics)
150 W MAIN ST
NEW ALBANY, OH 43054
Franklin County (614) 685-9425
KAYLA MORSE AUD
Audiologist
150 W MAIN ST
NEW ALBANY, OH 43054
Franklin County (614) 685-9425
MR. JESSE PARTHEMORE ATC
Specialist/Technologist (Athletic Trainer)
150 W MAIN ST
NEW ALBANY, OH 43054
Franklin County (614) 355-6054
SPENCER MICHAEL GARDNER MD
Psychiatry & Neurology (Psychiatry)
150 W MAIN ST
NEW ALBANY, OH 43054
Franklin County (614) 293-9600
CYRIL SHUSTER III PT, DPT, AT
Physical Therapist (Pediatrics)
150 W MAIN ST
NEW ALBANY, OH 43054
Franklin County (614) 685-9425
DR. LEI ZHANG DPT
Physical Therapist
150 W MAIN ST
NEW ALBANY, OH 43054
Franklin County (614) 685-4348
MEREDITH HASKELL PT
Physical Therapist (Pediatrics)
150 W MAIN ST
NEW ALBANY, OH 43054
Franklin County (614) 685-9425

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 Tonya Schmauder's NPI number?

The NPI number for Tonya Schmauder is 1043729114. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Tonya Schmauder located?

Tonya Schmauder practices at 150 W Main St, New Albany, OH 43054. The listed phone number is (614) 293-9600.

What is Tonya Schmauder's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tonya Schmauder enrolled in Medicare?

Yes. Tonya Schmauder is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tonya Schmauder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Schmauder reassigns Medicare benefits to 2 organizations: Osu Observation Medicine, LLC (Columbus, OH) and Osu Psychiatry, LLC (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tonya Schmauder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Schmauder accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Tonya Schmauder 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.

When was this NPI record last updated?

The NPPES record for Tonya Schmauder was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.