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JAMES R SCHWARTZ MD
NPI 1225039696
Orthopaedic Surgery in Verona, VA

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
76.67/100
CMS Quality Rating
1555 COMMERCE RD STE D, VERONA, VA 24482(540) 880-1008(540) 252-5329 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2026, May 12, 2025, Dec 20, 2024 and 1 more (4 updates tracked since 2019).

About James R Schwartz Md NPPES

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

JAMES R SCHWARTZ MD (NPI 1225039696) is an individual orthopaedic surgery provider in Verona, Virginia, licensed in Virginia (0101029387) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (1971).

NPPES Registry Identity

NPI1225039696
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES R SCHWARTZCredential: MD
Location Address1555 COMMERCE RD STE DVerona, VA 24482-9702
Mailing Address175 Bailey RdFort Defiance, VA 24437-2015 · (540) 908-7420 · Fax (540) 252-5329
Phone(540) 880-1008
Fax(540) 252-5329
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1971
Enumeration DateAugust 9, 2005
Last NPPES UpdateMay 11, 20264 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1225039696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in VA · 0101029387
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1555 COMMERCE RD STE D, Verona, VA 24482
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Other Identifiers 3

Other312151Cigna
Medicaid10083184VA
Other145127Anthem

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

James R Schwartz 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 ID3870565559
PECOS Enrollment IDI20040812000242
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 3

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
224 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.
81 services40 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
19 services13 patients

Hospital Affiliations CMS Care Compare

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24482 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

76.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.38
Improvement Activities40
Cost75.08

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 James Schwartz's NPI number?

The NPI number for James Schwartz is 1225039696. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is James Schwartz located?

James Schwartz practices at 1555 Commerce Rd Ste D, Verona, VA 24482. The listed phone number is (540) 880-1008.

What is James Schwartz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Schwartz enrolled in Medicare?

Yes. James Schwartz 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.

Is James Schwartz affiliated with any hospitals?

According to CMS data, James Schwartz is affiliated with Sentara Rmh Medical Center.

When was this NPI record last updated?

The NPPES record for James Schwartz was last updated on May 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.