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DR. JAMES LOUIS SCHMITT D.O.
NPI 1083824163
Pediatrics in Elizabeth City, NC

Active since May 23, 2007PECOS Enrolled
95.11/100
CMS Quality Rating
1141N ROAD ST M, ELIZABETH CITY, NC 27909(252) 384-2590(252) 384-2589 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James Louis Schmitt D.o. NPPES

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

DR. JAMES LOUIS SCHMITT D.O. (NPI 1083824163) is an individual pediatrics provider in Elizabeth City, North Carolina, licensed in North Carolina (2009-01930) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1083824163
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAMES LOUIS SCHMITTCredential: D.O.
Location Address1141N ROAD ST MElizabeth City, NC 27909-3354
Mailing Address1141n Road St MElizabeth City, NC 27909-3354 · (252) 384-2590 · Fax (252) 384-2589
Phone(252) 384-2590
Fax(252) 384-2589
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateApril 23, 2021
NPPES CertifiedApril 23, 2021
✔ NPI 1083824163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2009-01930
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1141N ROAD ST M, Elizabeth City, NC 27909
Open in Google Maps ↗

Secondary Practice Location 1

Location 1451 ruin creek rd, suite 101 henderson pediatrics centerhenderson, NC 27536 · Phone (252) 495-9565

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.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. James Louis Schmitt D.o. 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 James Schmitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Albemarle Physician Services - Sentara, Inc
1.4 mi
Neurology
1144 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 clinicians in this Medicare group
NPI 1407124654 (252) 384-4804

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 27909 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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 James Schmitt's NPI number?

The NPI number for James Schmitt is 1083824163. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is James Schmitt located?

James Schmitt practices at 1141N Road St M, Elizabeth City, NC 27909. The listed phone number is (252) 384-2590.

What is James Schmitt's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Schmitt enrolled in Medicare?

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

Which organization bills Medicare for James Schmitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Schmitt reassigns Medicare benefits to Albemarle Physician Services - Sentara, Inc (Elizabeth City, NC). 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 James Schmitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Schmitt accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list James 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 James Schmitt was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.