KELSEY SCHMIDT MD
NPI 1134617707
Obstetrics & Gynecology - Gynecology in Houston, TX

Active since April 28, 2018PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
6410 FANNIN ST STE 350, HOUSTON, TX 77030(713) 486-6644 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2025, Jul 11, 2023, Apr 28, 2018 (3 updates tracked since 2018).

About Kelsey Schmidt Md NPPES

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

KELSEY SCHMIDT MD (NPI 1134617707) is an individual gynecology provider in Houston, Texas, licensed in Georgia (92350) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1134617707
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameKELSEY SCHMIDTCredential: MD
Location Address6410 FANNIN ST STE 350Houston, TX 77030-3004
Mailing Address2665 N Decatur Rd Ste 630Decatur, GA 30033-6147 · (404) 778-3401
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 28, 2018
Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1134617707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in GA · 92350
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License U5512 (TX)
6410 FANNIN ST STE 350, Houston, TX 77030

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

Kelsey Schmidt 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 ID4486903168
PECOS Enrollment IDI20220901000524
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

3

Medicare enrollment records show Kelsey Schmidt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
Physical Medicine & Rehabilitation
80 JESSE HILL JR DR SE
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 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.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

Obstetrics & Gynecology
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Physician Assistant
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Physician Assistant
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Obstetrics & Gynecology
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Physician Assistant
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Obstetrics & Gynecology
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Advanced Practice Midwife
6410 FANNIN ST STE 350
HOUSTON, TX 77030
Obstetrics & Gynecology
6410 FANNIN ST STE 350
HOUSTON, TX 77030

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 Kelsey Schmidt's NPI number?

The NPI number for Kelsey Schmidt is 1134617707. It was assigned to this individual provider in the NPPES registry on April 28, 2018.

Where is Kelsey Schmidt located?

Kelsey Schmidt practices at 6410 Fannin St Ste 350, Houston, TX 77030. The listed phone number is (713) 486-6644.

What is Kelsey Schmidt's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Kelsey Schmidt enrolled in Medicare?

Yes. Kelsey 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.

Which organizations bill Medicare for Kelsey Schmidt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Schmidt reassigns Medicare benefits to 3 organizations: Ut Physicians (Houston, TX), Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). 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 Kelsey Schmidt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Schmidt accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kelsey 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.

Is Kelsey Schmidt affiliated with any hospitals?

According to CMS data, Kelsey Schmidt is affiliated with Emory Decatur Hospital and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Kelsey Schmidt was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.