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PATRICK DOUGLAS SCHUMACHER MD
NPI 1215905849
Ophthalmology in Circleville, OH

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
78.68/100
CMS Quality Rating
210 SHARON RD, SUITE B, CIRCLEVILLE, OH 43113(800) 948-3937(740) 477-8349 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patrick Douglas Schumacher Md NPPES

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

PATRICK DOUGLAS SCHUMACHER MD (NPI 1215905849) is an individual ophthalmology provider in Circleville, Ohio, licensed in Ohio (35085797) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2005).

NPPES Registry Identity

NPI1215905849
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePATRICK DOUGLAS SCHUMACHERCredential: MD
Location Address210 SHARON RD, SUITE BCircleville, OH 43113-0463
Mailing Address50 N Plaza BlvdChillicothe, OH 45601-1757 · (866) 587-8790 · Fax (740) 774-4061
Phone(800) 948-3937
Fax(740) 477-8349
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2005
Enumeration DateMarch 9, 2006
Last NPPES UpdateJanuary 11, 2012
✔ NPI 1215905849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OH · 35085797
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
210 SHARON RD, Circleville, OH 43113
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Other Identifiers 3

Medicare UPINI29234
Medicaid2594723OH
Medicare ID-Type Unspecified4157691OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Patrick Douglas Schumacher 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 ID4486696143
PECOS Enrollment IDI20050524000488
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 10

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
333 services263 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.
287 services173 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
275 services190 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
262 services168 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.
154 services154 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.
133 services131 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43113 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.

78.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost28.94

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.
94%672 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
10%733 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%2,360 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
48%46 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
77%2,360 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%2,360 patients1/55-star benchmark: 59%
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.

Other Providers at the Same Location NPPES 10

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

YADWINDER SINGH MD
Internal Medicine
210 SHARON RD, SUITE D
CIRCLEVILLE, OH 43113
Pickaway County (740) 420-8422
TERRY LEE SCHULTZ OD
Optometrist
210 SHARON RD, SUITE B
CIRCLEVILLE, OH 43113
Pickaway County (800) 948-3937
CIRCLEVILLE FOOT & ANKLE LLC
Podiatrist
210 SHARON RD, SUITE A
CIRCLEVILLE, OH 43113
Pickaway County (740) 474-3850
PICKAWAY HEALTH SERVICES
Specialist
210 SHARON RD, SUITE D
CIRCLEVILLE, OH 43113
Pickaway County (740) 420-8422
AGNES MARIE MILLER CRNA
Nurse Anesthetist, Certified Registered
210 SHARON RD
CIRCLEVILLE, OH 43113
Pickaway County (866) 587-8790
JOY SHIELDS MD
Obstetrics & Gynecology
210 SHARON RD, SUITE D
CIRCLEVILLE, OH 43113
Pickaway County (740) 420-8422
ARNOLD PALMER DO
Internal Medicine
210 SHARON RD, SUITE D
CIRCLEVILLE, OH 43113
Pickaway County (740) 420-8422
LUEBBE HEARING SERVICES
Audiologist
210 SHARON RD, SUITE 1
CIRCLEVILLE, OH 43113
Pickaway County (740) 474-8475

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 Patrick Schumacher's NPI number?

The NPI number for Patrick Schumacher is 1215905849. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Patrick Schumacher located?

Patrick Schumacher practices at 210 Sharon Rd Suite B, Circleville, OH 43113. The listed phone number is (800) 948-3937.

What is Patrick Schumacher's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Patrick Schumacher enrolled in Medicare?

Yes. Patrick Schumacher 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 Patrick Schumacher accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Patrick Schumacher 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 Patrick Schumacher was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.