MARK J SCHWARTZ MD
NPI 1326156654
Hospitalist in Marshfield, WI

Active since August 27, 2006PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5537 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mark J Schwartz Md NPPES

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

MARK J SCHWARTZ MD (NPI 1326156654) is an individual hospitalist provider in Marshfield, Wisconsin, licensed in Wisconsin (39152) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Wayne State University School Of Medicine (1996).

NPPES Registry Identity

NPI1326156654
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMARK J SCHWARTZCredential: MD
Location Address1000 N OAK AVEMarshfield, WI 54449
Mailing Address1000 N Oak AveMarshfield, WI 54449-5777
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1996
Enumeration DateAugust 27, 2006
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1326156654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 39152
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 39152 (WI)
1000 N OAK AVE, Marshfield, WI 54449

Other Identifiers 1

Medicaid32555000WI

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

Mark J 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 ID6406048016
PECOS Enrollment IDI20101013001226
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 4

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.
245 services100 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
78 services76 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
42 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520202
Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County
Emergency services Birthing friendly

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520212
Location9576 Highway 70Minocqua, WI 54548 · Oneida County
Emergency services Birthing friendly

Marshfield Medical Center - Ladysmith

Critical Access Hospitals · Ladysmith, WI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number521328
Location1200 Port Arthur RdLadysmith, WI 54848 · Rusk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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.

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers12 claims12 services$107.41 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.

Obstetrics & Gynecology
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Dietitian, Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Anesthetist, Certified Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Internal Medicine
1000 N OAK AVE
MARSHFIELD, WI 54449
Radiology (Vascular & Interventional Radiology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449

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 Mark Schwartz's NPI number?

The NPI number for Mark Schwartz is 1326156654. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Where is Mark Schwartz located?

Mark Schwartz practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5537.

What is Mark Schwartz's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mark Schwartz enrolled in Medicare?

Yes. Mark 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 Mark Schwartz accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Sanford Health Plan list Mark 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 Mark Schwartz affiliated with any hospitals?

According to CMS data, Mark Schwartz is affiliated with Marshfield Medical Center, Marshfield Medical Center - Weston, Marshfield Medical Center - Minocqua and Marshfield Medical Center - Ladysmith.

When was this NPI record last updated?

The NPPES record for Mark Schwartz was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.