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AUSTIN LEE SCHMIDT
NPI 1104587245
Physician Assistant in Clive, IA

Active since December 30, 2021PECOS EnrolledAccepts Medicare Assignment
68.07/100
CMS Quality Rating
1275 NW 128TH ST STE 200, CLIVE, IA 50325(515) 224-3948 Get Directions Write a Review

NPPES record last updated: January 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2022, Dec 30, 2021 (2 updates tracked since 2021).

About Austin Lee Schmidt NPPES

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

AUSTIN LEE SCHMIDT (NPI 1104587245) is an individual physician assistant in Clive, Iowa, licensed in Iowa (112272) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2021).

NPPES Registry Identity

NPI1104587245
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameAUSTIN LEE SCHMIDT
Location Address1275 NW 128TH ST STE 200Clive, IA 50325-7403
Mailing Address1275 Nw 128th St Ste 200Clive, IA 50325-7403
Phone(515) 224-3948
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2021
Enumeration DateDecember 30, 2021
Last NPPES UpdateJanuary 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 31, 2021
✔ NPI 1104587245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 112272
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1275 NW 128TH ST STE 200, Clive, IA 50325
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Austin Lee Schmidt 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 ID5294127080
PECOS Enrollment IDI20220128001846
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 2

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.

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.
30 services30 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50325 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $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.

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.

68.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.5
Improvement Activities40
Cost19.58

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers105 claims105 services$40.07 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers76 claims76 services$100.01 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers82 claims197 services$37.80 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers56 claims295 services$20.70 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
11 suppliers76 claims387 services$16.26 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers129 claims129 services$61.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DSM SLEEP SPECIALISTS
Internal Medicine (Sleep Medicine)
1275 NW 128TH ST STE 200
CLIVE, IA 50325
Polk County (734) 502-6716
DSM SLEEP SPECIALISTS
Internal Medicine (Sleep Medicine)
1275 NW 128TH ST STE 200
CLIVE, IA 50325
Polk County (515) 224-3948

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 Austin Schmidt's NPI number?

The NPI number for Austin Schmidt is 1104587245. It was assigned to this individual provider in the NPPES registry on December 30, 2021.

Where is Austin Schmidt located?

Austin Schmidt practices at 1275 NW 128th St Ste 200, Clive, IA 50325. The listed phone number is (515) 224-3948.

What is Austin Schmidt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Austin Schmidt enrolled in Medicare?

Yes. Austin Schmidt 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 Austin Schmidt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Austin Schmidt 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 Austin Schmidt was last updated on January 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.