STEVEN R SCHWEINSHAUPT M.D.
NPI 1205894847
Family Medicine in Franklin, NC

Q: What is Steven Schweinshaupt's NPI number?

The NPI number for Steven Schweinshaupt is 1205894847. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Steven Schweinshaupt's specialty?

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

Active since May 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 34D2272565 · Waiver

41 MACON CENTER DR, FRANKLIN, NC 28734(828) 369-0909(828) 369-1616 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 14, 2022, Oct 25, 2022 (2 updates tracked since 2022).

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About Steven R Schweinshaupt M.d. NPPES

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

STEVEN R SCHWEINSHAUPT M.D. (NPI 1205894847) is an individual family medicine provider in Franklin, North Carolina, licensed in North Carolina (2022-027020) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 22, 2026, and is affiliated with Harris Regional Hospital.

NPPES Registry Identity

NPI1205894847

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSTEVEN R SCHWEINSHAUPTCredential: M.D.

Location Address41 MACON CENTER DRFranklin, NC 28734-6779

Mailing Address41 Macon Center DrFranklin, NC 28734-6779 · (828) 369-0909 · Fax (828) 369-1616

Phone(828) 369-0909

Fax(828) 369-1616

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1988

Enumeration DateMay 3, 2006

Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration

NPPES CertifiedDecember 21, 2023

✔ NPI 1205894847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NC · 2022-027020✔ Licensed in FL · ME0055562✔ Licensed in GA · 92684

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.

41 MACON CENTER DR, Franklin, NC 28734

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Other Identifiers 1

Other59-3035785FL · Business Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Steven R Schweinshaupt M.d. 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 ID1557554490

PECOS Enrollment IDI20221206000956

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2272565

Steven Schweinshaupt, PA Dba Macon Family Practice · Franklin, NC

Active · expires Nov 22, 2026

CLIA Number34D2272565

Laboratory TypePhysician Office

Certificate Effective DateNovember 23, 2024

Certificate Expiration DateNovember 22, 2026

Laboratory DirectorSteven Schweinshaupt

Laboratory Phone(828) 369-0909

Laboratory LocationSteven Schweinshaupt, PA Dba Macon Family Practice41 Macon Center Drive, Franklin, NC 28734

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

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.

235 services81 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.

29 services29 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

25 services25 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.

23 services15 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.

22 services18 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.

17 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Harris Regional Hospital

Acute Care Hospitals · Sylva, NC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number340016

Location68 Hospital RdSylva, NC 28779 · Jackson County

Emergency services Birthing friendly

Angel Medical Center

Critical Access Hospitals · Franklin, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341326

Location124 Center Court PO Box 1209Franklin, NC 28734 · Macon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28734 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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 Steven Schweinshaupt's NPI number?

The NPI number for Steven Schweinshaupt is 1205894847. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Steven Schweinshaupt located?

Steven Schweinshaupt practices at 41 Macon Center Dr, Franklin, NC 28734. The listed phone number is (828) 369-0909.

What is Steven Schweinshaupt's specialty?

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

Is Steven Schweinshaupt enrolled in Medicare?

Yes. Steven Schweinshaupt 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.

Does Steven Schweinshaupt hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2272565) is associated with this NPI, valid through November 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Steven Schweinshaupt accept?

Health plans from Blue Cross and Blue Shield of NC list Steven Schweinshaupt 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 Steven Schweinshaupt affiliated with any hospitals?

According to CMS data, Steven Schweinshaupt is affiliated with Harris Regional Hospital and Angel Medical Center.

When was this NPI record last updated?

The NPPES record for Steven Schweinshaupt was last updated on December 21, 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.