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DR. MICHAEL J SCHWARTZMAN D.O.
NPI 1245278712
Psychiatry & Neurology - Neurology in Kansas City, MO

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
4400 BROADWAY, SUITE 520, KANSAS CITY, MO 64111(816) 531-4080(816) 531-0281 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael J Schwartzman D.o. NPPES

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

DR. MICHAEL J SCHWARTZMAN D.O. (NPI 1245278712) is an individual neurology provider in Kansas City, Missouri, licensed in Missouri (R3L28) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1984).

NPPES Registry Identity

NPI1245278712
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MICHAEL J SCHWARTZMANCredential: D.O.
Location Address4400 BROADWAY, SUITE 520Kansas City, MO 64111-3342
Mailing Address901 E 104th St, Mailstop 400sKansas City, MO 64131 · (816) 502-7117 · Fax (816) 932-9670
Phone(816) 531-4080
Fax(816) 531-0281
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1984
Enumeration DateJune 4, 2006
Last NPPES UpdateNovember 15, 2017
✔ NPI 1245278712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in MO · R3L28✔ Licensed in KS · 05-26084
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4400 BROADWAY, Kansas City, MO 64111
Open in Google Maps ↗

Other Identifiers 9

Medicaid100230960CKS
Other16121027Bcbs
Medicaid100230960BKS
Medicare PINC991487AKS
Medicare UPINE53176
Medicare PIN130026190
Medicare PINC991487MO
Other7775521Aetna
Medicaid242815421MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica 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

Dr. Michael J Schwartzman D.o. 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 ID2567367048
PECOS Enrollment IDI20031208000092, I20080124000242
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 8

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
188 services105 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.
112 services81 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.
72 services62 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.
65 services65 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services47 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
40 services40 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

Saint Lukes North Hospital

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260062
Location5830 N W Barry RoadKansas City, MO 64154 · Platte County
Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Cass Regional Medical Center

Critical Access Hospitals · Harrisonville, MO
OwnershipGovernment - Local
CMS Certification Number261324
Location2800 E Rock Haven RoadHarrisonville, MO 64701 · Cass County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

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.

DR. IRENE E BETTINGER M.D.
Psychiatry & Neurology (Neurology)
4400 BROADWAY, SUITE 520
KANSAS CITY, MO 64111
Jackson County (816) 531-4080
SUSAN SIFERS M.D.
Psychiatry & Neurology (Neurology)
4400 BROADWAY, STE. 520
KANSAS CITY, MO 64111
Jackson County (816) 531-4080
MRS. DIANE ELIZABETH WEINTRAUB R.PH.
Pharmacist
4400 BROADWAY, SUITE 106
KANSAS CITY, MO 64111
Jackson County (816) 931-0100
KELLY BUSH APN
Nurse Practitioner (Gerontology)
4400 BROADWAY, SUITE 520
KANSAS CITY, MO 64111
Jackson County (816) 531-4080
SETH MARCUS OLIPHANT M.D.
Physical Medicine & Rehabilitation (Sports Medicine)
4400 BROADWAY, SUITE 540
KANSAS CITY, MO 64111
Jackson County (816) 931-3013
DR. CHARLES L WEINSTEIN M.D.
Psychiatry & Neurology (Neurology)
4400 BROADWAY, SUITE 520
KANSAS CITY, MO 64111
Jackson County (816) 531-4080
SLNC INC
Psychiatry & Neurology (Neurology)
4400 BROADWAY, SUITE 520
KANSAS CITY, MO 64111
Jackson County (816) 531-4080
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
4400 BROADWAY, SUITE 302
KANSAS CITY, MO 64111
Jackson County (816) 756-5047

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 Michael Schwartzman's NPI number?

The NPI number for Michael Schwartzman is 1245278712. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Michael Schwartzman located?

Michael Schwartzman practices at 4400 Broadway Suite 520, Kansas City, MO 64111. The listed phone number is (816) 531-4080.

What is Michael Schwartzman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Michael Schwartzman enrolled in Medicare?

Yes. Michael Schwartzman 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 Michael Schwartzman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and UnitedHealthcare list Michael Schwartzman 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 Michael Schwartzman affiliated with any hospitals?

According to CMS data, Michael Schwartzman is affiliated with Saint Luke's South Hospital, Saint Lukes North Hospital, St Lukes Hospital Of Kansas City, Saint Luke's East Hospital and Cass Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Schwartzman was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.