GARY S SCHWARTZ M.D.
NPI 1275538571
Ophthalmology in Woodbury, MN

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
83.07/100
CMS Quality Rating
237 RADIO DR STE 100, WOODBURY, MN 55125(651) 275-3000(651) 275-3027 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary S Schwartz M.d. NPPES

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

GARY S SCHWARTZ M.D. (NPI 1275538571) is an individual ophthalmology provider in Woodbury, Minnesota, licensed in Minnesota (35829) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1991).

NPPES Registry Identity

NPI1275538571
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGARY S SCHWARTZCredential: M.D.
Location Address237 RADIO DR STE 100Woodbury, MN 55125-4478
Mailing Address1719 Tower Dr W, Ste 100Stillwater, MN 55082-7512 · (651) 275-3000 · Fax (651) 275-3027
Fax(651) 275-3027
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1991
Enumeration DateJune 15, 2005
Last NPPES UpdateMay 14, 2020
NPPES CertifiedMay 14, 2020
NPI 1275538571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MN · 35829
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.
237 RADIO DR STE 100, Woodbury, MN 55125

Other Identifiers 3

Other180023450MN · Railroad Medicare
Other180046284WI · Railroad Medicare
Medicaid131707500MN

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

Gary S Schwartz 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 ID6103724166
PECOS Enrollment IDI20040129000978, I20040202000120
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.
292 services292 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
150 services69 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.
100 services61 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
85 services84 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.
80 services75 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.
77 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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 $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

83.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability95
Improvement Activities40
Cost47.74

Other Providers at the Same Location NPPES 4

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

Ophthalmology
237 RADIO DR STE 100
WOODBURY, MN 55125
Ophthalmology
237 RADIO DR STE 100
WOODBURY, MN 55125
Optometrist
237 RADIO DR STE 100
WOODBURY, MN 55125
Optometrist
237 RADIO DR STE 100
WOODBURY, MN 55125

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 Schwartz's NPI number?

The NPI number for Gary Schwartz is 1275538571. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Gary Schwartz located?

Gary Schwartz practices at 237 Radio Dr Ste 100, Woodbury, MN 55125. The listed phone number is (651) 275-3000.

What is Gary Schwartz's specialty?

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

Is Gary Schwartz enrolled in Medicare?

Yes. Gary Schwartz 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 Schwartz accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Providence Health Plan list Gary Schwartz 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 Schwartz was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.