DONALD ANTHONY SCHMIDT PA-C
NPI 1255797486
Physician Assistant in Clayton, NC

Active since January 04, 2016PECOS EnrolledAccepts Medicare Assignment
2196 NC HIGHWAY 42 W, CLAYTON, NC 27520(919) 763-1050 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald Anthony Schmidt Pa-c NPPES

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

DONALD ANTHONY SCHMIDT PA-C (NPI 1255797486) is an individual physician assistant in Clayton, North Carolina, licensed in North Carolina (0010-13467) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, is affiliated with North Carolina Specialty Hospital, and is a graduate of Eastern Virginia Medical School (2023).

NPPES Registry Identity

NPI1255797486
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDONALD ANTHONY SCHMIDTCredential: PA-C
Location Address2196 NC HIGHWAY 42 WClayton, NC 27520-8343
Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (919) 220-5255
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2023
Enumeration DateJanuary 4, 2016
Last NPPES UpdateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
NPI 1255797486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-13467
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
2196 NC HIGHWAY 42 W, Clayton, NC 27520

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

Donald Anthony Schmidt Pa-c 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 ID5193171544
PECOS Enrollment IDI20231023000066
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 16

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
680 services74 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.
161 services149 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.
107 services100 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
91 services79 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.
66 services66 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
51 services46 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Specialty Hospital

Acute Care Hospitals · Durham, NC
OwnershipProprietary
CMS Certification Number340049
Location3916 Ben Franklin BoulevardDurham, NC 27704 · Durham County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27520 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.

Other Providers at the Same Location NPPES 8

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

Occupational Therapist
2196 NC HIGHWAY 42 W
CLAYTON, NC 27520
Physician Assistant
2196 NC HIGHWAY 42 W
CLAYTON, NC 27520
Physical Therapist
2196 NC HIGHWAY 42 W
CLAYTON, NC 27520
Occupational Therapist
2196 NC HIGHWAY 42 W
CLAYTON, NC 27520
Physician Assistant
2196 NC HIGHWAY 42 W
CLAYTON, NC 27520
Physical Therapist
2196 NC HIGHWAY 42 W
CLAYTON, NC 27520
Orthopaedic Surgery
2196 NC HIGHWAY 42 W
CLAYTON, NC 27520
Occupational Therapist
2196 NC HIGHWAY 42 W
CLAYTON, NC 27520

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 Donald Schmidt's NPI number?

The NPI number for Donald Schmidt is 1255797486. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Where is Donald Schmidt located?

Donald Schmidt practices at 2196 Nc Highway 42 W, Clayton, NC 27520. The listed phone number is (919) 763-1050.

What is Donald Schmidt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Donald Schmidt enrolled in Medicare?

Yes. Donald Schmidt 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 Donald Schmidt accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Donald Schmidt 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 Donald Schmidt affiliated with any hospitals?

According to CMS data, Donald Schmidt is affiliated with North Carolina Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Donald Schmidt was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.