MARY GENE SCHMITZ MD
NPI 1366402083
Family Medicine in Sioux Falls, SD
About Mary Gene Schmitz Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY GENE SCHMITZ MD (NPI 1366402083) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in Minnesota (46935) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Creighton University School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mary Gene Schmitz 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
SIOUX FALLS, SD 57103
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 Mary Schmitz's NPI number?
The NPI number for Mary Schmitz is 1366402083. It was assigned to this individual provider in the NPPES registry on March 25, 2006. The provider is also known as Mary Gene Berg MD.
Where is Mary Schmitz located?
Mary Schmitz practices at 4405 E 26th St, Sioux Falls, SD 57103. The listed phone number is (605) 328-9000.
What is Mary Schmitz's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mary Schmitz enrolled in Medicare?
Yes. Mary Schmitz 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 Mary Schmitz accept?
Health plans from Medica, Sanford Health Plan and Security Health Plan list Mary Schmitz 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 Mary Schmitz affiliated with any hospitals?
According to CMS data, Mary Schmitz is affiliated with Sanford Usd Medical Center.
When was this NPI record last updated?
The NPPES record for Mary Schmitz was last updated on March 25, 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.
