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MARK ALAN SCHMITZ D.O.
NPI 1144296955
Family Medicine in Manchester, TN

Active since February 23, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 44D0940600 · Waiver
905 MCARTHUR ST, MANCHESTER, TN 37355(931) 728-0155(931) 728-0109 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Alan Schmitz D.o. NPPES

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

MARK ALAN SCHMITZ D.O. (NPI 1144296955) is an individual family medicine provider in Manchester, Tennessee, licensed in Tennessee (DO0000715) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 11, 2028, and is affiliated with Unity Medical Center.

NPPES Registry Identity

NPI1144296955
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK ALAN SCHMITZCredential: D.O.
Location Address905 MCARTHUR STManchester, TN 37355-2325
Mailing Address905 Mcarthur StManchester, TN 37355-2325 · (931) 728-0155 · Fax (931) 728-0109
Phone(931) 728-0155
Fax(931) 728-0109
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1983
Enumeration DateFebruary 23, 2006
Last NPPES UpdateMarch 6, 2012
✔ NPI 1144296955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · DO0000715
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
905 MCARTHUR ST, Manchester, TN 37355
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Other Identifiers 3

Medicare PIN33018071TN
Medicaid3301807TN
Medicare UPINB04907TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Mark Alan Schmitz 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 ID7113076845
PECOS Enrollment IDI20090528000473
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0940600

Mark A Schmitz Do · Manchester, TN
Active · expires Feb 11, 2028
CLIA Number44D0940600
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorMark A. Schmitz Do
Laboratory Phone(931) 728-0155
Laboratory LocationMark A Schmitz Do905 Mcarthur Street, Manchester, TN 37355
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
164 services15 patients
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.
162 services86 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
79 services19 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.
40 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Unity Medical Center

Acute Care Hospitals · Manchester, TN
OwnershipVoluntary non-profit - Private
CMS Certification Number440007
Location481 Interstate DriveManchester, TN 37355 · Coffee County
Emergency services

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37355 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers24 claims50 services$6.33 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers11 claims22 services$1.84 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers43 claims44 services$17.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers59 claims59 services$105.93 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers23 claims2,130 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers18 claims18 services$24.60 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 Mark Schmitz's NPI number?

The NPI number for Mark Schmitz is 1144296955. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Mark Schmitz located?

Mark Schmitz practices at 905 Mcarthur St, Manchester, TN 37355. The listed phone number is (931) 728-0155.

What is Mark Schmitz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Schmitz enrolled in Medicare?

Yes. Mark Schmitz 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.

Does Mark Schmitz hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0940600) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mark Schmitz accept?

Health plans from UnitedHealthcare list Mark Schmitz 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 Mark Schmitz affiliated with any hospitals?

According to CMS data, Mark Schmitz is affiliated with Unity Medical Center and Vanderbilt Tullahoma-Harton Hospital.

When was this NPI record last updated?

The NPPES record for Mark Schmitz was last updated on March 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.