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DR. ALFRED JAMES WALTER SCHMALFUHS MD
NPI 1235876301
Family Medicine in Cedar Falls, IA

Active since May 19, 2022PECOS EnrolledAccepts Medicare Assignment
5100 PRAIRIE PKWY STE 205, CEDAR FALLS, IA 50613(319) 222-2711(319) 222-2714 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, May 19, 2022 (2 updates tracked since 2022).

About Dr. Alfred James Walter Schmalfuhs Md NPPES

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

DR. ALFRED JAMES WALTER SCHMALFUHS MD (NPI 1235876301) is an individual family medicine provider in Cedar Falls, Iowa, licensed in Iowa (R-12432) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235876301
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALFRED JAMES WALTER SCHMALFUHSCredential: MD
Location Address5100 PRAIRIE PKWY STE 205Cedar Falls, IA 50613-8155
Mailing Address5100 Prairie Pkwy Ste 205Cedar Falls, IA 50613-8155 · (319) 222-2711 · Fax (319) 222-2714
Phone(319) 222-2711
Fax(319) 222-2714
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 19, 2022
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1235876301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · R-12432
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 85730 (WI)
5100 PRAIRIE PKWY STE 205, Cedar Falls, IA 50613
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-2000
Location 2205 Parker StBoscobel, WI 53805-1642 · Phone (608) 375-4112

Other Identifiers 1

Medicaid1235876301WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alfred James Walter Schmalfuhs 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 ID840676284
PECOS Enrollment IDI20250729001746
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Alfred Schmalfuhs reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allen Memorial Hospital Corporation
5.5 mi
Women's Health
233 VOLD DR
Waterloo, IA 50703
  • Reassigned Medicare billing, Iowa enrollment
  • 273 clinicians in this Medicare group
NPI 1891772927 (319) 235-5090
Unitypoint Health - Marshalltown
43 mi
Emergency Medicine
55 UNITYPOINT WAY
Marshalltown, IA 50158
  • Reassigned Medicare billing, Iowa enrollment
  • 214 clinicians in this Medicare group
NPI 1164957593 (641) 754-5145
Memorial Hospital Of Boscobel
97 mi
Rural Health
220 LINCOLN AVE
Fennimore, WI 53809
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1760459846 (Wisconsin)
  • 299 clinicians in this Medicare group
NPI 1437448891 (608) 822-3737
The Monroe Clinic, Inc.
143 mi
Specialist
515 22ND AVE
Monroe, WI 53566
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
NPI 1386720548 (608) 324-2770
Cook County Hospital District
378 mi
Critical Access
515 5TH AVE W
Grand Marais, MN 55604
  • Reassigned Medicare billing, Minnesota enrollment
  • 45 clinicians in this Medicare group
NPI 1487712493 (218) 387-3040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Gundersen Boscobel Area Hospital And Clinics

Critical Access Hospitals · Boscobel, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521344
Location205 Parker StBoscobel, WI 53805 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50613 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

DOMINIC ALLAN D.O.
Family Medicine
5100 PRAIRIE PKWY STE 205
CEDAR FALLS, IA 50613
Black Hawk County (319) 222-2711
RYAN NEUHAUS MD
Family Medicine
5100 PRAIRIE PKWY STE 205
CEDAR FALLS, IA 50613
Black Hawk County (319) 222-2711
JOSHUA THOMAS TURNER DO
Family Medicine
5100 PRAIRIE PKWY STE 205
CEDAR FALLS, IA 50613
Black Hawk County (319) 222-2711
ELIZABETH M MAJEWSKI MD
Family Medicine
5100 PRAIRIE PKWY STE 205
CEDAR FALLS, IA 50613
Black Hawk County (319) 222-2711
JUSTIN ADRIAN MITCHELL DO
Family Medicine
5100 PRAIRIE PKWY STE 205
CEDAR FALLS, IA 50613
Black Hawk County (319) 222-2711
RAJA ALI ABDULLAH MD
Family Medicine
5100 PRAIRIE PKWY STE 205
CEDAR FALLS, IA 50613
Black Hawk County (319) 222-2711
ADAM J FROYUM ROISE M.D.
Family Medicine
5100 PRAIRIE PKWY STE 205
CEDAR FALLS, IA 50613
Black Hawk County (319) 222-2711
TYLER GROF
Family Medicine
5100 PRAIRIE PKWY STE 205
CEDAR FALLS, IA 50613
Black Hawk County (319) 222-2711

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 Alfred Schmalfuhs's NPI number?

The NPI number for Alfred Schmalfuhs is 1235876301. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Alfred Schmalfuhs located?

Alfred Schmalfuhs practices at 5100 Prairie Pkwy Ste 205, Cedar Falls, IA 50613. The listed phone number is (319) 222-2711.

What is Alfred Schmalfuhs's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alfred Schmalfuhs enrolled in Medicare?

Yes. Alfred Schmalfuhs 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.

Which organizations bill Medicare for Alfred Schmalfuhs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfred Schmalfuhs reassigns Medicare benefits to 5 organizations: Allen Memorial Hospital Corporation (Waterloo, IA), Unitypoint Health - Marshalltown (Marshalltown, IA), Memorial Hospital Of Boscobel (Fennimore, WI), The Monroe Clinic, Inc. (Monroe, WI) and Cook County Hospital District (Grand Marais, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alfred Schmalfuhs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alfred Schmalfuhs accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Alfred Schmalfuhs 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 Alfred Schmalfuhs affiliated with any hospitals?

According to CMS data, Alfred Schmalfuhs is affiliated with The Monroe Clinic and Gundersen Boscobel Area Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Alfred Schmalfuhs was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.