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DR. THEODORE M SCHNITZLER JR. DO
NPI 1164984084
Family Medicine in West Chester, PA

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
86.75/100
CMS Quality Rating
701 E MARSHALL ST, WEST CHESTER, PA 19380(610) 431-5000(610) 431-5025 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2025, Sep 16, 2024, Aug 9, 2024 and 2 more (5 updates tracked since 2019).

About Dr. Theodore M Schnitzler Jr. Do NPPES

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

DR. THEODORE M SCHNITZLER JR. DO (NPI 1164984084) is an individual family medicine provider in West Chester, Pennsylvania, licensed in Pennsylvania (OS022079) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164984084
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THEODORE M SCHNITZLER JR.Credential: DO
Location Address701 E MARSHALL STWest Chester, PA 19380-4421
Mailing Address455 Woodview Rd, Ste 100West Grove, PA 19390-4412 · (610) 431-5000 · Fax (610) 431-5025
Phone(610) 431-5000
Fax(610) 431-5025
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateMay 8, 20255 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1164984084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS022079✔ Licensed in AR · T20024-197
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.
701 E MARSHALL ST, West Chester, PA 19380
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Dr. Theodore M Schnitzler Jr. Do 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 ID2860727310
PECOS Enrollment IDI20220523000559
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
384 services161 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.
173 services170 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
100 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services77 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
78 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
59 services59 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.91
Promoting Interoperability100
Improvement Activities40

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.

NINA RUTH MAZZARELLI RN, BSN
Registered Nurse
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5000
CHESTER COUNTY HOSPITAL SPU
General Acute Care Hospital
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5000
ELISABETH ANNE CARTER MHS
Physician Assistant
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5150
JENNIFER M. BINGNEAR CRNA
Nurse Anesthetist, Certified Registered
701 E MARSHALL ST, NRW 141
WEST CHESTER, PA 19380
Chester County (610) 431-5472
PROF. AMANDA BRAUNSTEIN PA-C
Physician Assistant (Medical)
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5000
EMERGENCY CARE SPECIALISTS, PC
Emergency Medicine
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5150
MISS SARA ELIZABETH STERLING DO
Hospitalist
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5000
ANNAMARIE KOLLER D.O.
Pediatrics
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5376

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 Theodore Schnitzler's NPI number?

The NPI number for Theodore Schnitzler is 1164984084. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Theodore Schnitzler located?

Theodore Schnitzler practices at 701 E Marshall St, West Chester, PA 19380. The listed phone number is (610) 431-5000.

What is Theodore Schnitzler's specialty?

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

Is Theodore Schnitzler enrolled in Medicare?

Yes. Theodore Schnitzler 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.

What insurance does Theodore Schnitzler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Theodore Schnitzler 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 Theodore Schnitzler affiliated with any hospitals?

According to CMS data, Theodore Schnitzler is affiliated with Hospital Of Univ Of Pennsylvania and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Schnitzler was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.