ADAM PHILLIP SCHUMAIER MD
NPI 1093204901
Orthopaedic Surgery in Edgewood, KY

Active since May 07, 2018PECOS EnrolledAccepts Medicare Assignment
560 S LOOP RD, EDGEWOOD, KY 41017(859) 817-3599 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2024, Jul 9, 2023, May 7, 2018 (3 updates tracked since 2018).

About Adam Phillip Schumaier Md NPPES

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

ADAM PHILLIP SCHUMAIER MD (NPI 1093204901) is an individual orthopaedic surgery provider in Edgewood, Kentucky, licensed in Kentucky (59010) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1093204901
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameADAM PHILLIP SCHUMAIERCredential: MD
Location Address560 S LOOP RDEdgewood, KY 41017-3405
Mailing Address560 S Loop RdEdgewood, KY 41017-3405 · (859) 301-2663
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2018
Enumeration DateMay 7, 2018
Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
NPI 1093204901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in KY · 59010 Licensed in OH · 35.149895 Licensed in CT · 73277
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.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 73277 (CT)
560 S LOOP RD, Edgewood, KY 41017

Secondary Practice Locations 4

Location 1195 Eastern Blvd Ste 200Glastonbury, CT 06033-4353 · Phone (860) 527-7161
Location 27910 Beechmont AveCincinnati, OH 45255-4210 · Phone (513) 232-2663
Location 3234 Goodman StCincinnati, OH 45219-2364 · Phone (513) 558-4592
Location 44355 Ferguson DrCincinnati, OH 45245-5136 · Phone (513) 232-2663

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

Adam Phillip Schumaier 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 ID5294084562
PECOS Enrollment IDI20240326002456, I20240406000406
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 6

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 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.
40 services32 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
26 services14 patients
X-ray of elbow, minimum of 3 views 73080
An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.
22 services11 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 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.
11 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 20

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

Podiatrist
560 S LOOP RD
EDGEWOOD, KY 41017
Physician Assistant
560 S LOOP RD
EDGEWOOD, KY 41017
Orthopaedic Surgery (Sports Medicine)
560 S LOOP RD
EDGEWOOD, KY 41017
Orthotist
560 S LOOP RD
EDGEWOOD, KY 41017
Physician Assistant
560 S LOOP RD
EDGEWOOD, KY 41017
Physician Assistant (Surgical)
560 S LOOP RD
EDGEWOOD, KY 41017
Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017
Physician Assistant (Medical)
560 S LOOP RD
EDGEWOOD, KY 41017

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 Adam Schumaier's NPI number?

The NPI number for Adam Schumaier is 1093204901. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Adam Schumaier located?

Adam Schumaier practices at 560 S Loop Rd, Edgewood, KY 41017. The listed phone number is (859) 817-3599.

What is Adam Schumaier's specialty?

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

Is Adam Schumaier enrolled in Medicare?

Yes. Adam Schumaier 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 Adam Schumaier accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Adam Schumaier 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 Adam Schumaier affiliated with any hospitals?

According to CMS data, Adam Schumaier is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Adam Schumaier was last updated on September 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.