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DR. KELLY JAY SCHMIDT MD
NPI 1194704718
Family Medicine in Cedar Falls, IA

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
5100 PRAIRIE PKWY STE 101, CEDAR FALLS, IA 50613(319) 553-0828(319) 277-7548 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Jay Schmidt Md NPPES

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

DR. KELLY JAY SCHMIDT MD (NPI 1194704718) is an individual family medicine provider in Cedar Falls, Iowa, licensed in Iowa (30041) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and maintains a secondary practice location in Cedar Falls.

NPPES Registry Identity

NPI1194704718
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELLY JAY SCHMIDTCredential: MD
Location Address5100 PRAIRIE PKWY STE 101Cedar Falls, IA 50613-8155
Mailing Address5100 Prairie Pkwy Ste 101Cedar Falls, IA 50613-8155 · (319) 553-0828 · Fax (319) 277-7548
Phone(319) 553-0828
Fax(319) 277-7548
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1993
Enumeration DateJanuary 12, 2006
Last NPPES UpdateOctober 3, 2017
✔ NPI 1194704718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 30041
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.
5100 PRAIRIE PKWY STE 101, Cedar Falls, IA 50613
Open in Google Maps ↗

Secondary Practice Location 1

Location 11824 W 8th StCedar Falls, IA 50613-2056 · Phone (319) 277-0990 · Fax (319) 266-5452

Other Identifiers 5

Medicaid7097683IA
Medicare PIN53842IA
Medicaid8097683IA
Medicare UPINF87155IA
Other080091823IA · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Kelly Jay Schmidt Md 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 ID7012058571
PECOS Enrollment IDI20100105000789
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 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.

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.
298 services275 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
57 services49 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.
38 services34 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50613 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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

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

MARJORIE A EASTER ARNP
Nurse Practitioner (Family)
5100 PRAIRIE PKWY STE 101
CEDAR FALLS, IA 50613
Black Hawk County (319) 553-0828

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 Kelly Schmidt's NPI number?

The NPI number for Kelly Schmidt is 1194704718. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Kelly Schmidt located?

Kelly Schmidt practices at 5100 Prairie Pkwy Ste 101, Cedar Falls, IA 50613. The listed phone number is (319) 553-0828.

What is Kelly Schmidt's specialty?

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

Is Kelly Schmidt enrolled in Medicare?

Yes. Kelly 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.

What insurance does Kelly Schmidt accept?

Health plans from Medica list Kelly 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 Kelly Schmidt affiliated with any hospitals?

According to CMS data, Kelly Schmidt is affiliated with Allen Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Schmidt was last updated on October 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.