CECELIA ELIZABETH SCHMALBACH M.D.
NPI 1104804558
Otolaryngology in Philadelphia, PA

Q: What is Cecelia Schmalbach's NPI number?

The NPI number for Cecelia Schmalbach is 1104804558. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Q: What is Cecelia Schmalbach's specialty?

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

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment

76.7/100

CMS Quality Rating

3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3663(215) 707-6417 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 25, 2018, Sep 29, 2015 (2 updates tracked since 2015).

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About Cecelia Elizabeth Schmalbach M.d. NPPES

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

CECELIA ELIZABETH SCHMALBACH M.D. (NPI 1104804558) is an individual otolaryngology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD465783) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104804558

Entity TypeIndividualFemale

Primary Taxonomy207Y00000X

Provider Legal NameCECELIA ELIZABETH SCHMALBACHCredential: M.D.

Location Address3401 N BROAD STPhiladelphia, PA 19140

Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-3663 · Fax (215) 707-6417

Phone(215) 707-3663

Fax(215) 707-6417

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1998

Enumeration DateJanuary 5, 2006

Last NPPES UpdateSeptember 25, 20182 updates tracked since enumeration

✔ NPI 1104804558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in PA · MD465783✔ Licensed in IN · 01075632A✔ Licensed in AL · 32596✔ Licensed in MI · 4301072453

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.

3401 N BROAD ST, Philadelphia, PA 19140

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Secondary Practice Locations 3

Location 1720 Eskenzi Ave.Indianapolis, IN 46202-5166 · Phone (317) 880-3684 · Fax (317) 880-0532

Location 23401 N Broad StPhiladelphia, PA 19140 · Phone (215) 707-3663 · Fax (215) 707-6417

Location 3333 Cottman AvePhiladelphia, PA 19111-2497 · Phone (215) 728-6900 · Fax (215) 728-2773

Other Identifiers 1

Medicaid201308290IN

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

Cecelia Elizabeth Schmalbach M.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 ID9335125194

PECOS Enrollment IDI20181011000862

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 9

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

121 services90 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.

78 services65 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

58 services43 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.

47 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

23 services19 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.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390027

Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

76.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

55.19

Promoting Interoperability

Improvement Activities

Cost

54.93

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.

DR. JAMIE L. GARFIELD MD

Internal Medicine