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ROBERT W SCHIMMELPFENNIG JR. MD
NPI 1376514430
Pediatrics in Bloomington, IN

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
4011 S TIWARI BLVD, BLOOMINGTON, IN 47403(812) 825-0800 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1376514430
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameROBERT W SCHIMMELPFENNIG JR.Credential: MD
Location Address4011 S TIWARI BLVDBloomington, IN 47403
Mailing Address4721 E Donington DrBloomington, IN 47401-9406 · (812) 360-8205
Phone(812) 825-0800
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1976
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
✔ NPI 1376514430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01027199A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPersonal Emergency Response AttendantTaxonomy 146D00000X · License 01029199A (IN)
4011 S TIWARI BLVD, Bloomington, IN 47403
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Secondary Practice Location 1

Location 1550 S Landmark AveBloomington, IN 47403-3239 · Phone (812) 353-3333 · Fax (812) 323-8528

Other Identifiers 1

Medicaid100338920IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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.

PECOS PAC ID749186609
PECOS Enrollment IDI20060126000549
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

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.
16 services16 patients

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, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician 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.

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
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

MONROE PHYSICIANS GROUP
Emergency Medicine
4011 S TIWARI BLVD
BLOOMINGTON, IN 47403
Monroe County (812) 825-1111
MONROE PHYSICIANS GROUP
General Acute Care Hospital
4011 S TIWARI BLVD
BLOOMINGTON, IN 47403
Monroe County (812) 825-1111
MONROE HOSPITAL, LLC
General Acute Care Hospital
4011 S TIWARI BLVD
BLOOMINGTON, IN 47403
Monroe County (812) 825-5777
AMSOL ANESTHETISTS OF INDIANA LLC
Nurse Anesthetist, Certified Registered
4011 S TIWARI BLVD
BLOOMINGTON, IN 47403
Monroe County (812) 825-1111

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.

What insurance does Robert Schimmelpfennig accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare 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.