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THOMAS M SCHWARTZ MD
NPI 1346265774
Family Medicine in Portland, OR

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
4104 SE 82ND AVE, SUITE 250, PORTLAND, OR 97266(503) 215-9850(503) 215-9855 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas M Schwartz Md NPPES

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

THOMAS M SCHWARTZ MD (NPI 1346265774) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD21055) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (1994).

NPPES Registry Identity

NPI1346265774
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS M SCHWARTZCredential: MD
Location Address4104 SE 82ND AVE, SUITE 250Portland, OR 97266-2954
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 215-9850
Fax(503) 215-9855
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1994
Enumeration DateJuly 13, 2006
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1346265774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD21055
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4104 SE 82ND AVE, Portland, OR 97266
Open in Google Maps ↗

Other Identifiers 1

Medicaid151117OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Thomas M 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 ID7214994185
PECOS Enrollment IDI20041213000249
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 6

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 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.
40 services24 patients
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.
28 services13 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services14 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.
15 services15 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.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97266 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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

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
1 supplier12 claims12 services$56.19 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 19

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

DR. NICOLE MARIE MCKAY D.M.D
Dentist
4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266
Multnomah County (503) 771-4324
CLAUDIA ADLER MD
Student in an Organized Health Care Education/Training Program
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Multnomah County (503) 215-9850
MR. STOTZ THODA JR. D.O.
Family Medicine
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Multnomah County (503) 215-9850
DOUGLAS E RAY FNP
Nurse Practitioner (Family)
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Multnomah County (503) 215-9850
CHARISSA E ROGERS MD
Student in an Organized Health Care Education/Training Program
4104 SE 82ND AVE, STE 250
PORTLAND, OR 97266
Multnomah County (503) 215-9850
MRS. CYNTHIA ANN ALLEN R.D.H.
Dental Hygienist
4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266
Multnomah County (503) 771-4324
MARIETTA H CHOE MD
Family Medicine
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266
Multnomah County (503) 215-9850
SARAH RACHEL INSALL R.D.H.
Dental Hygienist
4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266
Multnomah County (855) 433-6825

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 Thomas Schwartz's NPI number?

The NPI number for Thomas Schwartz is 1346265774. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Thomas Schwartz located?

Thomas Schwartz practices at 4104 SE 82nd Ave Suite 250, Portland, OR 97266. The listed phone number is (503) 215-9850.

What is Thomas Schwartz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Schwartz enrolled in Medicare?

Yes. Thomas 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 Thomas Schwartz accept?

Health plans from Providence Health Plan list Thomas 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 Thomas Schwartz affiliated with any hospitals?

According to CMS data, Thomas Schwartz is affiliated with Providence Portland Medical Center and Providence Milwaukie Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Schwartz was last updated on October 20, 2020. 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.