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TIMOTHY M. SCHMITT M.D.
NPI 1376550814
Surgery in Kansas City, KS

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
3901 RAINBOW BLVD, MAILSTOP 1072, KANSAS CITY, KS 66160(913) 588-3457(913) 945-7438 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy M. Schmitt M.d. NPPES

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

TIMOTHY M. SCHMITT M.D. (NPI 1376550814) is an individual surgery provider in Kansas City, Kansas, licensed in Missouri (2012016539) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Creighton University School Of Medicine (1999).

NPPES Registry Identity

NPI1376550814
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTIMOTHY M. SCHMITTCredential: M.D.
Location Address3901 RAINBOW BLVD, MAILSTOP 1072Kansas City, KS 66160
Mailing Address3901 Rainbow Blvd, Mailstop 1072Kansas City, KS 66160 · (913) 588-2516 · Fax (913) 945-7438
Phone(913) 588-3457
Fax(913) 945-7438
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1999
Enumeration DateAugust 1, 2006
Last NPPES UpdateMay 6, 2015
✔ NPI 1376550814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MO · 2012016539✔ Licensed in KS · 04-35308✔ Licensed in VA · 0101240200
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3901 RAINBOW BLVD, Kansas City, KS 66160
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Other Identifiers 2

Other0435308KS · Kansas Board Of Healing Arts
Other2012016539MO · Missouri Board Of Healing Arts

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, 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

Timothy M. Schmitt 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 ID6103820956
PECOS Enrollment IDI20111006000771
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 9

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
88 services88 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services65 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.
25 services23 patients
Partial removal of liver lobe 47120
A partial removal of a liver lobe, also known as a hepatectomy, is a surgical procedure where a portion of your liver is removed. This is often done to eliminate disease, such as a tumor. The liver has the unique ability to regenerate, allowing for recovery post-procedure.
17 services12 patients
Partial removal of pancreas, bile duct, and small bowel with connection of pancreas to small bowel 48150
This procedure involves partially removing the pancreas, bile duct, and a portion of the small intestine. The remaining part of the pancreas is then connected to the small intestine. This surgery helps treat certain digestive system diseases.
17 services17 patients
Transplantation of donor liver 47135
Transplantation of a donor liver is a procedure where a diseased liver is replaced with a healthy one from a donor. This can be a life-saving operation for conditions such as liver failure or liver cancer. The new liver takes over the functions of the old one, helping the body process nutrients, filter blood, and fight infections.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

MRS. KELLI DOUGLAS M.A. CCC-SLP
Speech-Language Pathologist
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6745
MRS. MICHELLE RENEE ALTENHOFEN
Nurse Anesthetist, Certified Registered
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-5000
TAYLOR AYERS
Nurse Anesthetist, Certified Registered
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-5000
THERESA HOWARD NP
Nurse Practitioner (Primary Care)
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-0653
ADITYA KRISHNA DEVARAKONDA MD
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6739
DR. NELLIE MOUALEU PHD
Psychologist (Counseling)
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-1300
DR. AUSTIN MITCHELL GARTNER MD
Family Medicine
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-1908
DR. ALEXANDER PAUL GABRIELLI MD, PHD
General Practice
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-5000

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 Timothy Schmitt's NPI number?

The NPI number for Timothy Schmitt is 1376550814. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Timothy Schmitt located?

Timothy Schmitt practices at 3901 Rainbow Blvd Mailstop 1072, Kansas City, KS 66160. The listed phone number is (913) 588-3457.

What is Timothy Schmitt's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Timothy Schmitt enrolled in Medicare?

Yes. Timothy Schmitt 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 Timothy Schmitt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Timothy Schmitt 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 Timothy Schmitt affiliated with any hospitals?

According to CMS data, Timothy Schmitt is affiliated with University Of Kansas Hospital and Lmh.

When was this NPI record last updated?

The NPPES record for Timothy Schmitt was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.