THOMAS HYLAND SCHAUMBERG MD
NPI 1174516827
Internal Medicine - Pulmonary Disease in Portland, OR

Active since August 29, 2005PECOS Enrolled
93.57/100
CMS Quality Rating
1111 NE 99TH AVE STE 200, PORTLAND, OR 97220(503) 963-3030(503) 963-3140 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2023, Dec 10, 2021 (2 updates tracked since 2021).

About Thomas Hyland Schaumberg Md NPPES

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

THOMAS HYLAND SCHAUMBERG MD (NPI 1174516827) is an individual pulmonary disease provider in Portland, Oregon, licensed in Oregon (MD15332) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174516827
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameTHOMAS HYLAND SCHAUMBERGCredential: MD
Location Address1111 NE 99TH AVE STE 200Portland, OR 97220-9442
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Fax(503) 963-3140
Sole ProprietorNo
Enumeration DateAugust 29, 2005
Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
NPI 1174516827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OR · MD15332
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1111 NE 99TH AVE STE 200, Portland, OR 97220

Other Identifiers 2

Medicaid8154197WA
Medicaid066113OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thomas Hyland Schaumberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12

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.
146 services102 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.
57 services38 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
43 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
31 services20 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.
31 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

93.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.33
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers39 claims39 services$31.27 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers25 claims25 services$70.39 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers20 claims48 services$25.24 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers11 claims53 services$11.67 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers24 claims24 services$48.25 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
10 suppliers27 claims27 services$15.26 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 19

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

Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220
Physician Assistant
1111 NE 99TH AVE STE 200
PORTLAND, OR 97220

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 Schaumberg's NPI number?

The NPI number for Thomas Schaumberg is 1174516827. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is Thomas Schaumberg located?

Thomas Schaumberg practices at 1111 NE 99th Ave Ste 200, Portland, OR 97220. The listed phone number is (503) 963-3030.

What is Thomas Schaumberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Thomas Schaumberg enrolled in Medicare?

Yes. Thomas Schaumberg is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Schaumberg accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Thomas Schaumberg 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.

When was this NPI record last updated?

The NPPES record for Thomas Schaumberg was last updated on November 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.