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THOMAS THEODORE SCHMIDT M.D.
NPI 1154696250
Psychiatry & Neurology - Neurology in Rutland, VT

Active since March 21, 2012PECOS EnrolledAccepts Medicare Assignment
1 ALBERT CREE DR, RUTLAND, VT 05701(802) 775-4266(802) 786-0611 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2019, Sep 30, 2016 (2 updates tracked since 2016).

About Thomas Theodore Schmidt M.d. NPPES

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

THOMAS THEODORE SCHMIDT M.D. (NPI 1154696250) is an individual neurology provider in Rutland, Vermont, licensed in Vermont (042.0014345) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Redington Fairview General Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154696250
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameTHOMAS THEODORE SCHMIDTCredential: M.D.
Location Address1 ALBERT CREE DRRutland, VT 05701
Mailing Address1 Albert Cree DrRutland, VT 05701-4674 · (802) 775-4266 · Fax (802) 786-0611
Phone(802) 775-4266
Fax(802) 786-0611
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 21, 2012
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1154696250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in VT · 042.0014345✔ Licensed in MI · 4301109204✔ Licensed in ME · MD29755
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1 ALBERT CREE DR, Rutland, VT 05701
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1580 W College AveMarquette, MI 49855-2736 · Phone (906) 225-3993
Location 246 Fairview Ave Ste 114Skowhegan, ME 04976-1481 · Phone (207) 474-6943 · Fax (207) 474-6946
Location 3160 Allen StRutland, VT 05701-4560 · Phone (802) 775-7111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Thomas Theodore Schmidt 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 ID3870895188
PECOS Enrollment IDI20190523000946
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 Thomas Schmidt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rutland Hospital, Inc.
0.2 mi
Specialist
160 ALLEN ST
Rutland, VT 05701
  • Reassigned Medicare billing, Vermont enrollment
  • 80 clinicians in this Medicare group
NPI 1083678833 (802) 775-7111
Gifford Medical Center Inc
26 mi
Critical Access
44 S MAIN ST, BOX 2000
Randolph, VT 05060
  • Reassigned Medicare billing, Vermont enrollment
  • 46 clinicians in this Medicare group
NPI 1730199647 (802) 728-7000
Redington-Fairview General Hospital
180 mi
Critical Access
46 FAIRVIEW AVE
Skowhegan, ME 04976
  • Reassigned Medicare billing, Maine enrollment
  • 124 clinicians in this Medicare group
NPI 1174549133 (207) 474-5121

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

Areas of Expertise CMS Part B claims 8

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.
297 services230 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
114 services114 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services62 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services42 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
21 services21 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Redington Fairview General Hospital

Critical Access Hospitals · Skowhegan, ME
4/5 CMS rating
OwnershipProprietary
CMS Certification Number201314
Location46 Fairview Ave PO Box 468Skowhegan, ME 04976 · Somerset County
Emergency services

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470005
Location160 Allen StRutland, VT 05701 · Rutland County
Emergency services Birthing friendly

Gifford Medical Center

Critical Access Hospitals · Randolph, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471301
Location44 South Main StreetRandolph, VT 05060 · Orange County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05701 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Other Providers at the Same Location NPPES 7

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

MICHAEL WILLIAM GLEESON MD, PHD
Internal Medicine (Gastroenterology)
1 ALBERT CREE DR
RUTLAND, VT 05701
Rutland County (802) 786-1400
ERICA M. SWEET D.O.
Psychiatry & Neurology (Neurology)
1 ALBERT CREE DR
RUTLAND, VT 05701
Rutland County (802) 775-4266
MR. DALE S JANIK MD
Internal Medicine (Gastroenterology)
1 ALBERT CREE DR
RUTLAND, VT 05701
Rutland County (802) 786-1400
DR. PHILIP GINSBURG MD
Internal Medicine (Gastroenterology)
1 ALBERT CREE DR
RUTLAND, VT 05701
Rutland County (802) 786-1400
DR. HAMZA ZAFAR DAR OD
Optometrist
1 ALBERT CREE DR
RUTLAND, VT 05701
Rutland County (802) 773-5673
DR. JOSEPH A WILLIAMS MD
Internal Medicine (Gastroenterology)
1 ALBERT CREE DR
RUTLAND, VT 05701
Rutland County (802) 786-1400
HOWARD A WEAVER M.D.
Internal Medicine (Gastroenterology)
1 ALBERT CREE DR
RUTLAND, VT 05701
Rutland County (802) 786-1400

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 Thomas Schmidt's NPI number?

The NPI number for Thomas Schmidt is 1154696250. It was assigned to this individual provider in the NPPES registry on March 21, 2012.

Where is Thomas Schmidt located?

Thomas Schmidt practices at 1 Albert Cree Dr, Rutland, VT 05701. The listed phone number is (802) 775-4266.

What is Thomas Schmidt's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Thomas Schmidt enrolled in Medicare?

Yes. Thomas 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 Thomas Schmidt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Schmidt reassigns Medicare benefits to 3 organizations: Rutland Hospital, Inc. (Rutland, VT), Gifford Medical Center Inc (Randolph, VT) and Redington-Fairview General Hospital (Skowhegan, ME). 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 Thomas Schmidt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Schmidt accept?

Health plans from Anthem Blue Cross and Blue Shield list Thomas 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 Thomas Schmidt affiliated with any hospitals?

According to CMS data, Thomas Schmidt is affiliated with Redington Fairview General Hospital, Rutland Regional Medical Center and Gifford Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Schmidt was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.