RAFAEL L SCHMULEVICH MD
NPI 1215060140
Internal Medicine - Cardiovascular Disease in Steubenville, OH

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4100 JOHNSON RD STE 207, STEUBENVILLE, OH 43952(740) 266-9169(740) 266-6933 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rafael L Schmulevich Md NPPES

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

RAFAEL L SCHMULEVICH MD (NPI 1215060140) is an individual cardiovascular disease provider in Steubenville, Ohio, licensed in Ohio (35062485S) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1215060140
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRAFAEL L SCHMULEVICHCredential: MD
Location Address4100 JOHNSON RD STE 207Steubenville, OH 43952-2372
Mailing Address380 Summit Ave, Mso Physician BillingSteubenville, OH 43952-2667 · (740) 283-7597 · Fax (740) 283-7190
Fax(740) 266-6933
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 13, 2007
Last NPPES UpdateMay 12, 2020
NPPES CertifiedMay 12, 2020
NPI 1215060140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in OH · 35062485S Licensed in WV · 14695 Licensed in PA · MD040586E
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4100 JOHNSON RD STE 207, Steubenville, OH 43952

Other Identifiers 4

Other060044120OH · Railroad Medicare
Medicaid0848319OH
OtherPO1095907OH · Rr Medicare
Medicaid0071448000WV

Accepted 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

Rafael L Schmulevich 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 ID9931163268
PECOS Enrollment IDI20041117000036
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 25

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,664 services1,031 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
1,418 services44 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.
1,156 services644 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.
1,056 services768 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
412 services395 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
242 services237 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43952 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
4100 JOHNSON RD STE 207
STEUBENVILLE, OH 43952
Internal Medicine (Cardiovascular Disease)
4100 JOHNSON RD STE 207
STEUBENVILLE, OH 43952

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 Rafael Schmulevich's NPI number?

The NPI number for Rafael Schmulevich is 1215060140. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Rafael Schmulevich located?

Rafael Schmulevich practices at 4100 Johnson Rd Ste 207, Steubenville, OH 43952. The listed phone number is (740) 266-9169.

What is Rafael Schmulevich's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rafael Schmulevich enrolled in Medicare?

Yes. Rafael Schmulevich 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 Rafael Schmulevich accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia and MedMutual list Rafael Schmulevich 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 Rafael Schmulevich affiliated with any hospitals?

According to CMS data, Rafael Schmulevich is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Rafael Schmulevich was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.