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ADDISON SCHWALLER
NPI 1205463858
Physician Assistant in Kokomo, IN

Active since March 24, 2020PECOS Enrolled
89.55/100
CMS Quality Rating
1907 W SYCAMORE ST, KOKOMO, IN 46901(765) 456-5611 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Addison Schwaller NPPES

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

ADDISON SCHWALLER (NPI 1205463858) is an individual physician assistant in Kokomo, Indiana, licensed in Indiana (10003183A) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205463858
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameADDISON SCHWALLER
Location Address1907 W SYCAMORE STKokomo, IN 46901-5148
Mailing Address327 S Union St Apt 214Kokomo, IN 46901-6062 · (815) 757-7364
Phone(765) 456-5611
Sole ProprietorYes
Enumeration DateMarch 24, 2020
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1205463858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10003183A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1907 W SYCAMORE ST, Kokomo, IN 46901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Addison Schwaller 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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
157 services149 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
150 services137 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
89 services89 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
50 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46901 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

MELISSA ANNE COGDELL CRNA
Nurse Anesthetist, Certified Registered
1907 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 456-5433
DR. DAVID FREDERICK STRUS PH.D.
Psychologist (Clinical)
1907 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 456-5900
NAUTILUS HEALTH CARE GROUP, LLC
Preventive Medicine (Undersea and Hyperbaric Medicine)
1907 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 456-5433
DR. ERIC TUCHSCHERER M.D.
Family Medicine
1907 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 456-5433
SARAH ELIZABETH MILLER
Occupational Therapist
1907 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (678) 402-2002
MRS. LISA D STULTS FNP
Nurse Practitioner (Family)
1907 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 456-5900
KEITH ENNIS MD
Family Medicine
1907 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 456-5433
ELIZABETH MARIE SINANIAN MD
Surgery
1907 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (888) 492-6811

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 Addison Schwaller's NPI number?

The NPI number for Addison Schwaller is 1205463858. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Addison Schwaller located?

Addison Schwaller practices at 1907 W Sycamore St, Kokomo, IN 46901. The listed phone number is (765) 456-5611.

What is Addison Schwaller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Addison Schwaller enrolled in Medicare?

Yes. Addison Schwaller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Addison Schwaller was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.