DR. NEIL ROBERT SCHWARTZMAN MD
NPI 1295806750
Internal Medicine in Winston Salem, NC

Q: What is Neil Schwartzman's NPI number?

The NPI number for Neil Schwartzman is 1295806750. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Neil Schwartzman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Neil Schwartzman was last updated on July 18, 2024. 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.

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment

82.13/100

CMS Quality Rating

4937 OLD COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 718-4510(336) 718-4519 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Jul 1, 2024, Aug 9, 2023 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Neil Robert Schwartzman Md NPPES

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

DR. NEIL ROBERT SCHWARTZMAN MD (NPI 1295806750) is an individual internal medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2023-02528) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1295806750

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. NEIL ROBERT SCHWARTZMANCredential: MD

Location Address4937 OLD COUNTRY CLUB RDWinston Salem, NC 27104-5071

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(336) 718-4510

Fax(336) 718-4519

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateNovember 13, 2006

Last NPPES UpdateJuly 18, 20244 updates tracked since enumeration

NPPES CertifiedJuly 18, 2024

✔ NPI 1295806750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in NC · 2023-02528✔ Licensed in MO · R3P79

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4937 OLD COUNTRY CLUB RD, Winston Salem, NC 27104

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Secondary Practice Locations 2

Location 1441 W Elm St Ste ALebanon, MO 65536-3573 · Phone (417) 532-2805 · Fax (417) 532-2965

Location 2301 E Wendover Ave Ste 200Greensboro, NC 27401-1232 · Phone (336) 274-3241 · Fax (336) 272-7134

Other Identifiers 1

Medicaid203088810MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Neil Robert Schwartzman Md 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 ID4688582026

PECOS Enrollment IDI20230905002821

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 10

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

141 services117 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.

110 services94 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

46 services41 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

42 services39 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

42 services39 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

22 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27104 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

82.13/100

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

Scored as part of a group practice

Quality

75.14

Promoting Interoperability

100

Improvement Activities

Cost

61.46

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers22 claims61 services$5.08 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers16 claims21 services$0.93 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers21 claims21 services$44.06 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers23 claims23 services$102.15 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers22 claims64 services$38.36 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers20 claims20 services$21.56 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MIKAYLA HOPWOOD FNP-BC

Nurse Practitioner