NEIL LOUIS SCHWIMLEY D.O.
NPI 1114912995
Orthopaedic Surgery in Cedar Falls, IA

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
93.73/100
CMS Quality Rating
2351 HUDSON RD STE 1, CEDAR FALLS, IA 50614(319) 273-5275 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Neil Louis Schwimley D.o. NPPES

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

NEIL LOUIS SCHWIMLEY D.O. (NPI 1114912995) is an individual orthopaedic surgery provider in Cedar Falls, Iowa, licensed in Iowa (DO-05500) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Waverly Health Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1998).

NPPES Registry Identity

NPI1114912995
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameNEIL LOUIS SCHWIMLEYCredential: D.O.
Location Address2351 HUDSON RD STE 1Cedar Falls, IA 50614-4246
Mailing AddressPo Box 2758Waterloo, IA 50704-2758 · (319) 235-5390
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1998
Enumeration DateSeptember 16, 2005
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1114912995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in IA · DO-05500✔ Licensed in MI · 5101014892
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 · Sports MedicineTaxonomy 207XX0005X · License 34.012429 (OH), DO05500 (IA)
2351 HUDSON RD STE 1, Cedar Falls, IA 50614

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Neil Louis Schwimley D.o. 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 ID3577885631
PECOS Enrollment IDI20200320001051
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 Reassignments

2

Medicare enrollment records show Neil Schwimley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
405 MONROE ST
Pella, IA 50219
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1578520888 (Iowa)
  • 129 clinicians in this Medicare group
Critical Access
1229 C AVE E
Oskaloosa, IA 52577
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1407869852 (Iowa)
  • 111 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Waverly Health Center

Critical Access Hospitals · Waverly, IA
OwnershipGovernment - Local
CMS Certification Number161339
Location312 9th Street SWWaverly, IA 50677 · Bremer County
Emergency services Birthing friendly

Pella Regional Health Center

Critical Access Hospitals · Pella, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number161367
Location404 Jefferson StreetPella, IA 50219 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50614 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.

93.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$94.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Neil Schwimley's NPI number?

The NPI number for Neil Schwimley is 1114912995. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Neil Schwimley located?

Neil Schwimley practices at 2351 Hudson Rd Ste 1, Cedar Falls, IA 50614. The listed phone number is (319) 273-5275.

What is Neil Schwimley's specialty?

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

Is Neil Schwimley enrolled in Medicare?

Yes. Neil Schwimley 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.

Which organizations bill Medicare for Neil Schwimley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neil Schwimley reassigns Medicare benefits to 2 organizations: Pella Regional Health Center (Pella, IA) and Mahaska County Hospital (Oskaloosa, IA). Each 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 Neil Schwimley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neil Schwimley accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Neil Schwimley 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 Neil Schwimley affiliated with any hospitals?

According to CMS data, Neil Schwimley is affiliated with Waverly Health Center and Pella Regional Health Center.

When was this NPI record last updated?

The NPPES record for Neil Schwimley was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.