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DR. RANDALL WILLIAM SCHMIDT MD
NPI 1295842573
Internal Medicine in Burlington, WI

Active since August 24, 2006PECOS Enrolled
248 MCHENRY ST, BURLINGTON, WI 53105(262) 767-8262(262) 767-8212 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2024, Mar 7, 2023, Nov 19, 2021 (3 updates tracked since 2021).

About Dr. Randall William Schmidt Md NPPES

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

DR. RANDALL WILLIAM SCHMIDT MD (NPI 1295842573) is an individual internal medicine provider in Burlington, Wisconsin, licensed in Wisconsin (25506) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295842573
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RANDALL WILLIAM SCHMIDTCredential: MD
Location Address248 MCHENRY STBurlington, WI 53105
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 767-8262
Fax(262) 767-8212
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1295842573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 25506
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.
248 MCHENRY ST, Burlington, WI 53105
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Other Identifiers 2

Medicaid30610900WI
MedicaidMD351WIAK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randall William Schmidt Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53105 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 18

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
13 suppliers60 claims168 services$5.69 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers25 claims28 services$0.98 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers16 claims16 services$37.84 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$102.73 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers11 claims25 services$35.05 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$43.87 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 20

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

DR. JAMES T MORAN MD
Internal Medicine (Cardiovascular Disease)
248 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-8094
DR. MARTIN C BAUR M.D.
Family Medicine
248 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-8000
RASHEED BAYA DO
Family Medicine
248 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-6100
TRACY BIRD
Nurse Practitioner
248 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-8094
DR. JON A DANKLE MD
Otolaryngology
248 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-8260
BRIAN A SCHROEDER NP
Nurse Practitioner
248 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-8000
MAGDALENA ANNA HORN NP
Nurse Practitioner
248 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-8000
MR. KENNETH M NIEC PA-C
Physician Assistant
248 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-8110

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 Randall Schmidt's NPI number?

The NPI number for Randall Schmidt is 1295842573. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Randall Schmidt located?

Randall Schmidt practices at 248 Mchenry St, Burlington, WI 53105. The listed phone number is (262) 767-8262.

What is Randall Schmidt's specialty?

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

Is Randall Schmidt enrolled in Medicare?

Yes. Randall Schmidt is registered in the Medicare PECOS enrollment system.

What insurance does Randall Schmidt accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Randall 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.

When was this NPI record last updated?

The NPPES record for Randall Schmidt was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.