NILES DAVID SCHWARTZ M.D.
NPI 1336197680
Orthopaedic Surgery - Hand Surgery in Fort Wayne, IN

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
80.66/100
CMS Quality Rating
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-8686(260) 436-8585 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Niles David Schwartz M.d. NPPES

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

NILES DAVID SCHWARTZ M.D. (NPI 1336197680) is an individual hand surgery provider in Fort Wayne, Indiana, licensed in Indiana (01056026A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Indiana University School Of Medicine (2000).

NPPES Registry Identity

NPI1336197680
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameNILES DAVID SCHWARTZCredential: M.D.
Location Address7601 W JEFFERSON BLVDFort Wayne, IN 46804-4133
Mailing AddressPo Box 2526Fort Wayne, IN 46801-2526 · (260) 436-8686 · Fax (260) 436-8585
Fax(260) 436-8585
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2000
Enumeration DateMay 5, 2006
Last NPPES UpdateNovember 7, 2016
NPI 1336197680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in IN · 01056026A
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 01056026A (IN)
7601 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Identifiers 3

Medicaid200839910AIN
Other000000476928Anthem
Medicare PIN132560DDDIN

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

Niles David Schwartz M.d. 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 ID648209452
PECOS Enrollment IDI20060929000306
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 15

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.

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.
182 services154 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.
76 services73 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
64 services41 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
49 services43 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
36 services26 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
31 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150150
Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County
Emergency services Birthing friendly

The Orthopaedic Hospital Of Lutheran Health Networ

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150168
Location7952 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

80.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.61
Promoting Interoperability84
Improvement Activities40
Cost70.28

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
4 suppliers13 claims13 services$55.32 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.

Podiatrist (Foot & Ankle Surgery)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Podiatrist (Foot & Ankle Surgery)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Physical Therapist
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Durable Medical Equipment & Medical Supplies
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Podiatrist (Foot & Ankle Surgery)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Orthopaedic Surgery
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804

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 Niles Schwartz's NPI number?

The NPI number for Niles Schwartz is 1336197680. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Niles Schwartz located?

Niles Schwartz practices at 7601 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 436-8686.

What is Niles Schwartz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Niles Schwartz enrolled in Medicare?

Yes. Niles 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 Niles Schwartz accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Niles 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 Niles Schwartz affiliated with any hospitals?

According to CMS data, Niles Schwartz is affiliated with Lutheran Hospital Of Indiana, Parkview Dekalb Hospital, Dupont Hospital LLC and The Orthopaedic Hospital Of Lutheran Health Networ.

When was this NPI record last updated?

The NPPES record for Niles Schwartz was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.