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DR. ADAM ROBERT SCHWALM D.O.
NPI 1255788550
Pediatrics in Anna, TX

Active since May 17, 2016PECOS Enrolled
2151 W WHITE ST STE 100, ANNA, TX 75409(945) 204-7878(945) 204-7877 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2025, Jul 9, 2019, May 17, 2016 (3 updates tracked since 2016).

About Dr. Adam Robert Schwalm D.o. NPPES

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

DR. ADAM ROBERT SCHWALM D.O. (NPI 1255788550) is an individual pediatrics provider in Anna, Texas, licensed in Texas (S2166) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255788550
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ADAM ROBERT SCHWALMCredential: D.O.
Location Address2151 W WHITE ST STE 100Anna, TX 75409-5156
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (945) 204-7878 · Fax (945) 204-7877
Phone(945) 204-7878
Fax(945) 204-7877
Sole ProprietorNo
Enumeration DateMay 17, 2016
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1255788550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · S2166
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2151 W WHITE ST STE 100, Anna, TX 75409
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adam Robert Schwalm D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Adam Schwalm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network
61 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75409 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Adam Schwalm's NPI number?

The NPI number for Adam Schwalm is 1255788550. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Adam Schwalm located?

Adam Schwalm practices at 2151 W White St Ste 100, Anna, TX 75409. The listed phone number is (945) 204-7878.

What is Adam Schwalm's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Adam Schwalm enrolled in Medicare?

Yes. Adam Schwalm is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adam Schwalm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Schwalm reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The 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 Adam Schwalm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Schwalm accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Adam Schwalm 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 Adam Schwalm was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.