MATTHEW THOMAS SCHMITT PT
NPI 1225757339
Physical Therapist in Durham, NC

Active since August 23, 2022Accepts Medicare Assignment
88.4/100
CMS Quality Rating
120 WILLIAM PENN PLZ, DURHAM, NC 27704(919) 220-5255 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Thomas Schmitt Pt NPPES

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

MATTHEW THOMAS SCHMITT PT (NPI 1225757339) is an individual physical therapist in Durham, North Carolina, licensed in North Carolina (P21550) and active in the NPI registry since August 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1225757339
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMATTHEW THOMAS SCHMITTCredential: PT
Location Address120 WILLIAM PENN PLZDurham, NC 27704-2150
Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (919) 220-5255
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
NPI 1225757339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NC · P21550
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
120 WILLIAM PENN PLZ, Durham, NC 27704

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

Matthew Thomas Schmitt Pt 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 ID446627624
PECOS Enrollment IDI20221031002680

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Other Providers at the Same Location NPPES 20

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

Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Occupational Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physician Assistant
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Internal Medicine (Rheumatology)
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Orthopaedic Surgery
120 WILLIAM PENN PLZ
DURHAM, NC 27704

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 Matthew Schmitt's NPI number?

The NPI number for Matthew Schmitt is 1225757339. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Where is Matthew Schmitt located?

Matthew Schmitt practices at 120 William Penn Plz, Durham, NC 27704. The listed phone number is (919) 220-5255.

What is Matthew Schmitt's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Matthew Schmitt enrolled in Medicare?

Yes. Matthew Schmitt 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 Matthew Schmitt accept?

Health plans from Blue Cross and Blue Shield of NC list Matthew Schmitt 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 Matthew Schmitt was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.