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DR. KIM ELAINE SCHMITT MD
NPI 1063486546
Otolaryngology in Duluth, GA

Active since February 14, 2006PECOS Enrolled
3855 PLEASANT HILL RD STE 420, DULUTH, GA 30096(770) 495-1955(770) 232-9961 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2020, Oct 25, 2019 (2 updates tracked since 2019).

About Dr. Kim Elaine Schmitt Md NPPES

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

DR. KIM ELAINE SCHMITT MD (NPI 1063486546) is an individual otolaryngology provider in Duluth, Georgia, licensed in Georgia (86917) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063486546
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KIM ELAINE SCHMITTCredential: MD
Location Address3855 PLEASANT HILL RD STE 420Duluth, GA 30096-8030
Mailing Address3855 Pleasant Hill Rd Ste 420Duluth, GA 30096-8030 · (770) 495-1955 · Fax (770) 232-9961
Phone(770) 495-1955
Fax(770) 232-9961
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateApril 20, 20232 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
✔ NPI 1063486546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in GA · 86917✔ Licensed in CA · G161068✔ Licensed in AL · ACS11006
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3855 PLEASANT HILL RD STE 420, Duluth, GA 30096
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Secondary Practice Locations 2

Location 11701 4th St Ste 120Santa Rosa, CA 95404 · Phone (707) 523-7025 · Fax (707) 523-3024
Location 252 Medical Park East Dr, Ste 102Birmingham, AL 35235 · Phone (205) 838-3747 · Fax (205) 838-3324

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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)

Dr. Kim Elaine Schmitt Md 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 Reassignment

Medicare enrollment records show Kim Schmitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group Of Georgia LLC
42 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285

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

Areas of Expertise CMS Part B claims 11

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
408 services12 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.
156 services101 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
88 services63 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
67 services67 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
32 services28 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
28 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES 2

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

KARINA GARCIA PAC
Physician Assistant
3855 PLEASANT HILL RD STE 420
DULUTH, GA 30096
Gwinnett County (770) 495-1955
DR. ROBERT ARTHUR GADLAGE M.D.
Otolaryngology
3855 PLEASANT HILL RD STE 420
DULUTH, GA 30096
Gwinnett County (770) 495-1955

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 Kim Schmitt's NPI number?

The NPI number for Kim Schmitt is 1063486546. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Kim Schmitt located?

Kim Schmitt practices at 3855 Pleasant Hill Rd Ste 420, Duluth, GA 30096. The listed phone number is (770) 495-1955.

What is Kim Schmitt's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kim Schmitt enrolled in Medicare?

Yes. Kim Schmitt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Schmitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Schmitt reassigns Medicare benefits to Privia Medical Group Of Georgia LLC (Fayetteville, GA). The 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 Kim Schmitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Schmitt accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Kim Schmitt 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 Kim Schmitt was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.