DR. MITCHELL W SCHUSTER M.D.
NPI 1245299874
Obstetrics & Gynecology in Decatur, AL

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
84.33/100
CMS Quality Rating
1304 13TH AVE SE, DECATUR, AL 35601(256) 355-9711(256) 351-9717 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mitchell W Schuster M.d. NPPES

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

DR. MITCHELL W SCHUSTER M.D. (NPI 1245299874) is an individual obstetrics & gynecology provider in Decatur, Alabama, licensed in Alabama (17058) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1990).

NPPES Registry Identity

NPI1245299874
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MITCHELL W SCHUSTERCredential: M.D.
Location Address1304 13TH AVE SEDecatur, AL 35601-4359
Mailing Address1304 13th Ave SeDecatur, AL 35601-4359 · (256) 355-9711 · Fax (256) 351-9717
Fax(256) 351-9717
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1990
Enumeration DateMarch 22, 2006
Last NPPES UpdateApril 1, 2011
NPI 1245299874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in AL · 17058
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1304 13TH AVE SE, Decatur, AL 35601

Other Identifiers 5

Medicare ID-Type Unspecified88145AL
Medicaid000088145AL
Medicaid000086030AL
Medicare UPINE43994AL
Medicare ID-Type Unspecified86030AL

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

Dr. Mitchell W Schuster M.d. 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 ID9133109440
PECOS Enrollment IDI20111130000152
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 15

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.

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.
244 services137 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.
146 services110 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
133 services78 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.
82 services82 patients
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784
This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.
35 services35 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35601 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

84.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.96
Improvement Activities40

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.
87%583 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.
90%63 patients4/55-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.
88%577 patients4/55-star benchmark: 99%
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…
61%463 patients3/55-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…
8%463 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 20

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

Obstetrics & Gynecology (Gynecology)
1304 13TH AVE SE, SUITE C
DECATUR, AL 35601
Obstetrics & Gynecology
1304 13TH AVE SE, SUITE A
DECATUR, AL 35601
General Practice
1304 13TH AVE SE
DECATUR, AL 35601
Clinic/Center (Federally Qualified Health Center (FQHC))
1304 13TH AVE SE, SUITE A
DECATUR, AL 35601
Obstetrics & Gynecology
1304 13TH AVE SE, SUITE A
DECATUR, AL 35601
Obstetrics & Gynecology
1304 13TH AVE SE
DECATUR, AL 35601
Family Medicine
1304 13TH AVE SE
DECATUR, AL 35601
Nurse Practitioner (Pediatrics)
1304 13TH AVE SE
DECATUR, AL 35601

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 Mitchell Schuster's NPI number?

The NPI number for Mitchell Schuster is 1245299874. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Mitchell Schuster located?

Mitchell Schuster practices at 1304 13th Ave SE, Decatur, AL 35601. The listed phone number is (256) 355-9711.

What is Mitchell Schuster's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mitchell Schuster enrolled in Medicare?

Yes. Mitchell Schuster 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 Mitchell Schuster accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Mitchell Schuster 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 Mitchell Schuster was last updated on April 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.