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MICHAEL ALAN SCHWARTZ MD
NPI 1306884549
Psychiatry & Neurology - Neurology in Dumfries, VA

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
2204 POTOMAC RIVER BLVD, DUMFRIES, VA 22026(813) 495-2222(571) 231-6663 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2022, Mar 25, 2021 (2 updates tracked since 2021).

About Michael Alan Schwartz Md NPPES

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

MICHAEL ALAN SCHWARTZ MD (NPI 1306884549) is an individual neurology provider in Dumfries, Virginia, licensed in Florida (ME057799) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Marys Hospital, and maintains a secondary practice location in St Pete Beach.

NPPES Registry Identity

NPI1306884549
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMICHAEL ALAN SCHWARTZCredential: MD
Location Address2204 POTOMAC RIVER BLVDDumfries, VA 22026-3001
Mailing Address2204 Potomac River BlvdDumfries, VA 22026-3001 · (813) 495-2222
Phone(813) 495-2222
Fax(571) 231-6663
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1982
Enumeration DateJune 2, 2006
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1306884549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME057799
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineTaxonomy 2081P0004X · License ME057799 (FL)
2204 POTOMAC RIVER BLVD, Dumfries, VA 22026
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Secondary Practice Location 1

Location 15575 Gulf Blvd Apt 341St Pete Beach, FL 33706-2344 · Phone (813) 495-2222

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Alan Schwartz 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 ID3577941103
PECOS Enrollment IDI20251229002074
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Schwartz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mary Washington Healthcare Physicians
22 mi
Family Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 547 clinicians in this Medicare group
NPI 1295999852 (540) 741-1100
Kings Daughters Medical Specialties Inc.,
290 mi
Podiatrist
336 29TH ST STE 301
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • 531 clinicians in this Medicare group
NPI 1528502200 (606) 420-0145
Sjl Health Systems Inc
638 mi
Skilled Nursing Facility
900 S CHESTNUT ST
Pana, IL 62557
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
NPI 1215037353 (217) 562-3996

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.
37 services37 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.
33 services29 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.
28 services25 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.
15 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22026 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Michael Schwartz's NPI number?

The NPI number for Michael Schwartz is 1306884549. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Michael Schwartz located?

Michael Schwartz practices at 2204 Potomac River Blvd, Dumfries, VA 22026. The listed phone number is (813) 495-2222.

What is Michael Schwartz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Michael Schwartz enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Schwartz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Schwartz reassigns Medicare benefits to 3 organizations: Mary Washington Healthcare Physicians (Fredericksburg, VA), Kings Daughters Medical Specialties Inc., (Ashland, KY) and Sjl Health Systems Inc (Pana, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Schwartz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Schwartz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, CareSource, Molina Healthcare and Mountain Health CO-OP and 1 other insurer list Michael 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.

Is Michael Schwartz affiliated with any hospitals?

According to CMS data, Michael Schwartz is affiliated with St Marys Hospital and St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for Michael Schwartz was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.