DR. JOHN THEODORE SCHWARTZ JR. MD
NPI 1114994985
Orthopaedic Surgery - Hand Surgery in Dublin, CA

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4000 DUBLIN BLVD STE 100, DUBLIN, CA 94568(925) 939-8585 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2025, May 11, 2017 (2 updates tracked since 2017).

About Dr. John Theodore Schwartz Jr. Md NPPES

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

DR. JOHN THEODORE SCHWARTZ JR. MD (NPI 1114994985) is an individual hand surgery provider in Dublin, California, licensed in California (G68871) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1984).

NPPES Registry Identity

NPI1114994985
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. JOHN THEODORE SCHWARTZ JR.Credential: MD
Location Address4000 DUBLIN BLVD STE 100Dublin, CA 94568-3122
Mailing AddressPo Box 31396Walnut Creek, CA 94598-8396 · (925) 939-8585 · Fax (925) 933-2709
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1984
Enumeration DateMarch 1, 2006
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
NPI 1114994985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in CA · G68871
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
4000 DUBLIN BLVD STE 100, Dublin, CA 94568

Other Names 1

Other Name (5)Dr. J. Theodore Schwartz Md

Other Identifiers 2

Other00G688710CA · Blue Shield
Other200008386CA · Rail Road Medicare

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

Dr. John Theodore Schwartz Jr. 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 ID5092614495
PECOS Enrollment IDI20040105000779
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 18

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.
380 services219 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
215 services131 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.
147 services147 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
99 services74 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.
83 services61 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
79 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94568 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

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 supplier12 claims12 services$115.07 avg. paid by Medicare
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$185.26 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier24 claims26 services$60.93 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 14

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

Physician Assistant (Surgical)
4000 DUBLIN BLVD STE 100
DUBLIN, CA 94568
Physician Assistant (Surgical)
4000 DUBLIN BLVD STE 100
DUBLIN, CA 94568
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4000 DUBLIN BLVD STE 100
DUBLIN, CA 94568
Physician Assistant (Surgical)
4000 DUBLIN BLVD STE 100
DUBLIN, CA 94568
Physical Therapist (Orthopedic)
4000 DUBLIN BLVD STE 100
DUBLIN, CA 94568
Nurse Practitioner (Family)
4000 DUBLIN BLVD STE 100
DUBLIN, CA 94568
Orthopaedic Surgery
4000 DUBLIN BLVD STE 100
DUBLIN, CA 94568
Physician Assistant (Surgical)
4000 DUBLIN BLVD STE 100
DUBLIN, CA 94568

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 John Schwartz's NPI number?

The NPI number for John Schwartz is 1114994985. It was assigned to this individual provider in the NPPES registry on March 1, 2006. The provider is also known as Dr. J. Theodore Schwartz MD.

Where is John Schwartz located?

John Schwartz practices at 4000 Dublin Blvd Ste 100, Dublin, CA 94568. The listed phone number is (925) 939-8585.

What is John Schwartz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is John Schwartz enrolled in Medicare?

Yes. John Schwartz 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.

When was this NPI record last updated?

The NPPES record for John Schwartz was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.