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DR. DOUGLAS JAMES SCHNEIDER MD
NPI 1194757948
Pediatrics - Pediatric Cardiology in Lexington, KY

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE STREET, MN150, LEXINGTON, KY 40536(859) 323-5494(859) 323-3499 Get Directions Write a Review

NPPES record last updated: September 20, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Douglas James Schneider Md NPPES

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

DR. DOUGLAS JAMES SCHNEIDER MD (NPI 1194757948) is an individual pediatric cardiology provider in Lexington, Kentucky, licensed in Kentucky (26707) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of New Mexico School Of Medicine (1988).

NPPES Registry Identity

NPI1194757948
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. DOUGLAS JAMES SCHNEIDERCredential: MD
Location Address800 ROSE STREET, MN150Lexington, KY 40536
Mailing Address800 Rose Street Mn 150, Kentucky Children's HospitalLexington, KY 40536-0298 · (859) 323-5494 · Fax (859) 323-3499
Phone(859) 323-5494
Fax(859) 323-3499
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1988
Enumeration DateJuly 6, 2006
Last NPPES UpdateSeptember 20, 2013
✔ NPI 1194757948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in KY · 26707✔ Licensed in WI · 49579
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
800 ROSE STREET, MN150, Lexington, KY 40536
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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 of Tennessee 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. Douglas James Schneider 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 ID8426022419
PECOS Enrollment IDI20090107000211
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 Reassignment

Medicare enrollment records show Douglas Schneider reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentucky Medical Services Foundation, Inc
3.4 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

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

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

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.

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

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 Douglas Schneider's NPI number?

The NPI number for Douglas Schneider is 1194757948. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Douglas Schneider located?

Douglas Schneider practices at 800 Rose Street, Mn150, Lexington, KY 40536. The listed phone number is (859) 323-5494.

What is Douglas Schneider's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Douglas Schneider enrolled in Medicare?

Yes. Douglas Schneider 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 organization bills Medicare for Douglas Schneider's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Schneider reassigns Medicare benefits to Kentucky Medical Services Foundation, Inc (Lexington, KY). The 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 Douglas Schneider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Schneider accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Douglas Schneider 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 Douglas Schneider affiliated with any hospitals?

According to CMS data, Douglas Schneider is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Schneider was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.