ROBERT W SCHIMMELPFENNIG JR. MD
NPI 1376514430
Pediatrics in Bloomington, IN
About Robert W Schimmelpfennig Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT W SCHIMMELPFENNIG JR. MD (NPI 1376514430) is an individual pediatrics provider in Bloomington, Indiana, licensed in Indiana (01027199A) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Bloomington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Robert W Schimmelpfennig Jr. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Robert Schimmelpfennig reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, IN 47408
- Reassigned Medicare billing, Indiana enrollment
- 783 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
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
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.
Indiana University Health
Acute Care Hospitals · Indianapolis, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMINGTON, IN 47403
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 Robert Schimmelpfennig's NPI number?
The NPI number for Robert Schimmelpfennig is 1376514430. It was assigned to this individual provider in the NPPES registry on January 27, 2006.
Where is Robert Schimmelpfennig located?
Robert Schimmelpfennig practices at 4011 S Tiwari Blvd, Bloomington, IN 47403. The listed phone number is (812) 825-0800.
What is Robert Schimmelpfennig's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Robert Schimmelpfennig enrolled in Medicare?
Yes. Robert Schimmelpfennig 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 Robert Schimmelpfennig's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Schimmelpfennig reassigns Medicare benefits to 2 organizations: Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Robert Schimmelpfennig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Schimmelpfennig accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Robert Schimmelpfennig 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 Robert Schimmelpfennig affiliated with any hospitals?
According to CMS data, Robert Schimmelpfennig is affiliated with Indiana University Health.
When was this NPI record last updated?
The NPPES record for Robert Schimmelpfennig was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Robert W Schimmelpfennig Jr., MD · NPI 1376514430
Pediatrics physician in Bloomington, Indiana. Individual provider, active in the CMS NPPES registry since January 27, 2006.
## Identity
- **NPI:** 1376514430 (Entity type: Individual)
- **Enumerated:** January 27, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 01027199A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4011 S TIWARI BLVD, Bloomington, IN 47403
- **Phone:** (812) 825-0800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Indiana University Health Southern Indiana Physicians, LLC (NPI 1013953983, Bloomington, IN); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1976
## Record status
- **NPPES last updated:** July 12, 2024
- **Other identifiers:** Medicaid 100338920 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1376514430) · Data from the CMS NPPES public registry.