1. Home
  2. Directory
  3. Iowa
  4. City
  5. Otolaryngology
  6. NPI Profile

DR. ADAM TOBIAS SCHWALJE M.D., D.M.A.
NPI 1174904890
Otolaryngology in Iowa City, IA

Active since June 18, 2015PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, DEPT OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY, IOWA CITY, IA 52242(319) 356-3574(319) 356-4547 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Adam Tobias Schwalje M.d., D.m.a. NPPES

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

DR. ADAM TOBIAS SCHWALJE M.D., D.M.A. (NPI 1174904890) is an individual otolaryngology provider in Iowa City, Iowa, licensed in Iowa (R-10390) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of University Of California, San Francisco School Of Medicine (2015).

NPPES Registry Identity

NPI1174904890
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ADAM TOBIAS SCHWALJECredential: M.D., D.M.A.
Location Address200 HAWKINS DR, DEPT OF OTOLARYNGOLOGY - HEAD AND NECK SURGERYIowa City, IA 52242-1009
Mailing Address200 Hawkins Dr, Dept Of Otolaryngology - Head And Neck SurgeryIowa City, IA 52242-1009 · (319) 356-3574 · Fax (319) 356-4547
Phone(319) 356-3574
Fax(319) 356-4547
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2015
Enumeration DateJune 18, 2015
✔ NPI 1174904890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IA · R-10390
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
200 HAWKINS DR, Iowa City, IA 52242
Open in Google Maps ↗

Accepted Insurance

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

Dr. Adam Tobias Schwalje M.d., D.m.a. 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 ID7416260682
PECOS Enrollment IDI20220822000768, I20221024001394
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

2

Medicare enrollment records show Adam Schwalje reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iowa Physicians Clinic Medical Foundation
30 mi
General Practice
1518 MULBERRY AVENUE
Muscatine, IA 52761
  • Reassigned Medicare billing, Iowa and Illinois enrollments
  • Also billed through NPI 1366425274 (Illinois)
  • 1,506 clinicians in this Medicare group
NPI 1982831426 (515) 471-9300
Ent Professional Services, PC
53 mi
Specialist
3385 DEXTER CT, SUITE 101
Davenport, IA 52807
  • Reassigned Medicare billing, Iowa and Illinois enrollments
  • 7 clinicians in this Medicare group
NPI 1457499758 (563) 359-1646

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.

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.
113 services113 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.
76 services65 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
74 services74 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
55 services52 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.
42 services37 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
26 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140280
Location2701 17th StRock Island, IL 61201 · Rock Island County
Emergency services Birthing friendly

Trinity Muscatine

Acute Care Hospitals · Muscatine, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160013
Location1518 Mulberry AvenueMuscatine, IA 52761 · Muscatine County
Emergency services

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160104
Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

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 Adam Schwalje's NPI number?

The NPI number for Adam Schwalje is 1174904890. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Where is Adam Schwalje located?

Adam Schwalje practices at 200 Hawkins Dr Dept Of Otolaryngology - Head And Neck Surgery, Iowa City, IA 52242. The listed phone number is (319) 356-3574.

What is Adam Schwalje's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Adam Schwalje enrolled in Medicare?

Yes. Adam Schwalje 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 Adam Schwalje's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Schwalje reassigns Medicare benefits to 2 organizations: Iowa Physicians Clinic Medical Foundation (Muscatine, IA) and Ent Professional Services, PC (Davenport, IA). 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 Adam Schwalje's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Schwalje accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Adam Schwalje 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 Adam Schwalje affiliated with any hospitals?

According to CMS data, Adam Schwalje is affiliated with Trinity Rock Island, Trinity Muscatine, Genesis Medical Center-Davenport and Trinity - Bettendorf.

When was this NPI record last updated?

The NPPES record for Adam Schwalje was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.