DR. WILLIAM EDWIN SCHEMMEL O.D.
NPI 1063419935
Optometrist in Sidney, OH

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
89.7/100
CMS Quality Rating
915 MICHIGAN ST, SIDNEY, OH 45365(937) 492-8040(937) 492-7447 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. William Edwin Schemmel O.d. NPPES

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

DR. WILLIAM EDWIN SCHEMMEL O.D. (NPI 1063419935) is an individual optometrist in Sidney, Ohio, licensed in Ohio (4385/T291) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1992).

NPPES Registry Identity

NPI1063419935
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. WILLIAM EDWIN SCHEMMELCredential: O.D.
Location Address915 MICHIGAN STSidney, OH 45365-2401
Mailing Address915 Michigan St Ste 101Sidney, OH 45365-2401 · (937) 492-8040
Fax(937) 492-7447
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1992
Enumeration DateJuly 7, 2005
Last NPPES UpdateNovember 20, 2023
NPPES CertifiedNovember 20, 2023
NPI 1063419935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OH · 4385/T291
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

915 MICHIGAN ST, Sidney, OH 45365

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

Dr. William Edwin Schemmel O.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 ID4385633858
PECOS Enrollment IDI20040510000909
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 10

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
289 services262 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
168 services146 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
120 services106 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.
108 services79 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
79 services74 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
60 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45365 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

89.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost65.66

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.

Specialist/Technologist (Athletic Trainer)
915 MICHIGAN ST
SIDNEY, OH 45365
Nurse Practitioner (Pediatrics)
915 MICHIGAN ST
SIDNEY, OH 45365
Nurse Practitioner (Family)
915 MICHIGAN ST
SIDNEY, OH 45365
Pharmacist
915 MICHIGAN ST
SIDNEY, OH 45365
Obstetrics & Gynecology
915 MICHIGAN ST, YAGER BLDG. SUITE 202
SIDNEY, OH 45365
Specialist/Technologist (Athletic Trainer)
915 MICHIGAN ST
SIDNEY, OH 45365
Emergency Medicine
915 MICHIGAN ST
SIDNEY, OH 45365
Psychiatric Unit
915 MICHIGAN ST
SIDNEY, OH 45365

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 William Schemmel's NPI number?

The NPI number for William Schemmel is 1063419935. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is William Schemmel located?

William Schemmel practices at 915 Michigan St, Sidney, OH 45365. The listed phone number is (937) 492-8040.

What is William Schemmel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is William Schemmel enrolled in Medicare?

Yes. William Schemmel 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 William Schemmel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list William Schemmel 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 William Schemmel was last updated on November 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.