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MARC SCHWARTZ
NPI 1295950806
Internal Medicine - Gastroenterology in Pittsburgh, PA

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3708 5TH AVE, SUITE 400.4, PITTSBURGH, PA 15213(412) 578-9533 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marc Schwartz NPPES

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

MARC SCHWARTZ (NPI 1295950806) is an individual gastroenterology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD437289) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2000).

NPPES Registry Identity

NPI1295950806
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMARC SCHWARTZ
Location Address3708 5TH AVE, SUITE 400.4Pittsburgh, PA 15213-3427
Mailing Address6580 Beacon St, Digestive Disorders CenterPittsburgh, PA 15217-1843
Phone(412) 578-9533
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2000
Enumeration DateApril 17, 2007
Last NPPES UpdateMarch 25, 2021
✔ NPI 1295950806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD437289
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3708 5TH AVE, Pittsburgh, PA 15213
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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

Marc Schwartz 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 ID2062513211
PECOS Enrollment IDI20090721000435
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
89 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
68 services66 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.
54 services42 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.
24 services20 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
21 services20 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims 2

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers15 claims470 services$3.21 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims980 services$0.23 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 11

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

DR. MARNI NICOLE GREENWALD M.D.
Internal Medicine
3708 5TH AVE, MEDICAL ARTS BUILDING, SUITE 500
PITTSBURGH, PA 15213
Allegheny County (412) 647-2816
ANTONELLA POLITO MD
Pediatrics
3708 5TH AVE, SUITE 503 MEDICAL ARTS BUILDING
PITTSBURGH, PA 15213
Allegheny County (412) 958-7885
ZILUE TANG M.D.
Preventive Medicine (Occupational Medicine)
3708 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 624-9379
ARIVARASAN KARUNAMURTHY
Pathology (Anatomic Pathology & Clinical Pathology)
3708 5TH AVE, SUITE 500 DIVISION OF DERMATOPATHOLOGY
PITTSBURGH, PA 15213
Allegheny County (412) 802-6013
DR. T TSAI M.D.
Internal Medicine
3708 5TH AVE, SUITE 500.68
PITTSBURGH, PA 15213
Allegheny County (412) 246-7021
WENDY MCCOY ELLIOTT PH.D.
Psychologist
3708 5TH AVE, MEDICAL ARTS BUILDING, SUITE 401
PITTSBURGH, PA 15213
Allegheny County (412) 802-6696
DR. ROBERT MOREAU DENSHAW M.D.
Internal Medicine (Nephrology)
3708 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 578-9551
MRS. PATRICIA RUMGAY QUINN
Nurse Practitioner (Adult Health)
3708 5TH AVE, SUITE 500 STUDENT HEALTH SERVICES
PITTSBURGH, PA 15213
Allegheny County (412) 383-1808

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 Marc Schwartz's NPI number?

The NPI number for Marc Schwartz is 1295950806. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Marc Schwartz located?

Marc Schwartz practices at 3708 5th Ave Suite 400.4, Pittsburgh, PA 15213. The listed phone number is (412) 578-9533.

What is Marc Schwartz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Marc Schwartz enrolled in Medicare?

Yes. Marc 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.

Is Marc Schwartz affiliated with any hospitals?

According to CMS data, Marc Schwartz is affiliated with Upmc Passavant, Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside, Upmc Horizon and St Clair Hospital.

When was this NPI record last updated?

The NPPES record for Marc Schwartz was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.