DR. GARY B SCHEMMER M.D.
NPI 1265439517
Ophthalmology in Winter Haven, FL

Q: What is Gary Schemmer's NPI number?

The NPI number for Gary Schemmer is 1265439517. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Q: What is Gary Schemmer's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Schemmer was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment

97.51/100

CMS Quality Rating

215 1ST ST N, STE 200, WINTER HAVEN, FL 33881(863) 294-5457(863) 293-0343 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Gary B Schemmer M.d. NPPES

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

DR. GARY B SCHEMMER M.D. (NPI 1265439517) is an individual ophthalmology provider in Winter Haven, Florida, licensed in Florida (ME43513) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1982).

NPPES Registry Identity

NPI1265439517

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. GARY B SCHEMMERCredential: M.D.

Location Address215 1ST ST N, STE 200Winter Haven, FL 33881-4537

Mailing Address215 1st St N, Ste 200Winter Haven, FL 33881-4537 · (863) 294-5457 · Fax (863) 293-0343

Phone(863) 294-5457

Fax(863) 293-0343

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 1982

Enumeration DateJuly 1, 2005

Last NPPES UpdateJanuary 6, 2015

✔ NPI 1265439517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · ME43513

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

215 1ST ST N, Winter Haven, FL 33881

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Other Identifiers 3

Medicare UPIND56675FL

Medicare PIN53839YFL

Medicaid45487700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Gary B Schemmer 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 ID4789635111

PECOS Enrollment IDI20100812001019

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 14

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

526 services473 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.

208 services168 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

122 services90 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

112 services79 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

72 services68 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.

71 services61 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

69 services67 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

69 services63 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

53 services43 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

49 services49 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.

48 services48 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

34 services34 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services27 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33881 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

97.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

91.71

Other Providers at the Same Location NPPES 9

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

DR. JONATHAN S SILBIGER M.D.

Ophthalmology

215 1ST ST N, STE 200
WINTER HAVEN, FL 33881

Polk County (863) 294-5457

DR. TRISHA MAI TRAN O.D.

Optometrist

215 1ST ST N, STE. 100
WINTER HAVEN, FL 33881

Polk County (863) 299-8908

DR. FRANK J FISCHER III M.D.

Ophthalmology

215 1ST ST N, STE 200
WINTER HAVEN, FL 33881

Polk County (863) 294-5457

PHILLIPS SALOMON & PARRISH PA

Optometrist

215 1ST ST N, SUITE 100
WINTER HAVEN, FL 33881

Polk County (863) 299-8908

DR. JAMES A PHILLIPS OD

Optometrist

215 1ST ST N, STE.100
WINTER HAVEN, FL 33881

Polk County (863) 299-8908

FISCHER SCHEMMER & SILBIGER MD PA

Specialist

215 1ST ST N, STE 200
WINTER HAVEN, FL 33881

Polk County (863) 294-5457

MYEYEDR. OPTOMETRY OF FLORIDA, LLC

Optometrist

215 1ST ST N, SUITE 100
WINTER HAVEN, FL 33881

Polk County (863) 299-8908

DR. STEPHEN F PHILLIPS OD

Optometrist

215 1ST ST N
WINTER HAVEN, FL 33881

Polk County (863) 299-8908

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 Gary Schemmer's NPI number?

The NPI number for Gary Schemmer is 1265439517. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Gary Schemmer located?

Gary Schemmer practices at 215 1st St N Ste 200, Winter Haven, FL 33881. The listed phone number is (863) 294-5457.

What is Gary Schemmer's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gary Schemmer enrolled in Medicare?

Yes. Gary Schemmer 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 Gary Schemmer accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Gary Schemmer 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 Gary Schemmer was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.