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STEPHEN SCHMALBACH
NPI 1215452503
Physician Assistant in Orlando, FL

Active since August 08, 2017PECOS EnrolledAccepts Medicare Assignment
7601 DELLA DR STE 13, ORLANDO, FL 32819(512) 222-5856 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 17, 2019, Aug 8, 2017 (2 updates tracked since 2017).

About Stephen Schmalbach NPPES

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

STEPHEN SCHMALBACH (NPI 1215452503) is an individual physician assistant in Orlando, Florida, licensed in Florida (PA9110574) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215452503
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHEN SCHMALBACH
Location Address7601 DELLA DR STE 13Orlando, FL 32819-7233
Mailing Address7601 Della Dr Ste 13Orlando, FL 32819-7233 · (512) 222-5856
Phone(512) 222-5856
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 8, 2017
Last NPPES UpdateSeptember 17, 20192 updates tracked since enumeration
✔ NPI 1215452503 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 FL · PA9110574
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.
7601 DELLA DR STE 13, Orlando, FL 32819
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Stephen Schmalbach 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 ID8426311457
PECOS Enrollment IDI20180404001738
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 2

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.

Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
70 services11 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32819 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%61 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Stephen Schmalbach's NPI number?

The NPI number for Stephen Schmalbach is 1215452503. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Where is Stephen Schmalbach located?

Stephen Schmalbach practices at 7601 Della Dr Ste 13, Orlando, FL 32819. The listed phone number is (512) 222-5856.

What is Stephen Schmalbach's specialty?

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

Is Stephen Schmalbach enrolled in Medicare?

Yes. Stephen Schmalbach 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 Stephen Schmalbach accept?

Health plans from Oscar Health Maintenance Organization of Florida list Stephen Schmalbach 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.

When was this NPI record last updated?

The NPPES record for Stephen Schmalbach was last updated on September 17, 2019. 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.