DR. CARL RICHARD SCHMIDT M.D.
NPI 1386802460
Surgery - Surgical Oncology in Columbus, OH

Q: What is Carl Schmidt's NPI number?

The NPI number for Carl Schmidt is 1386802460. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Q: What is Carl Schmidt's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Carl Schmidt was last updated on April 15, 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.

Active since May 27, 2008PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

2050 KENNY RD, TOWER, 8TH FLOOR, COLUMBUS, OH 43221(614) 293-7171(614) 293-3465 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2022, Aug 6, 2021, Apr 8, 2021 and 5 more (8 updates tracked since 2017).

On this page

About Dr. Carl Richard Schmidt M.d. NPPES

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

DR. CARL RICHARD SCHMIDT M.D. (NPI 1386802460) is an individual surgical oncology provider in Columbus, Ohio, licensed in West Virginia (28387) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1386802460

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameDR. CARL RICHARD SCHMIDTCredential: M.D.

Location Address2050 KENNY RD, TOWER, 8TH FLOORColumbus, OH 43221

Mailing Address1 Medical Center DrMorgantown, WV 26506-1200 · (304) 598-4000

Phone(614) 293-7171

Fax(614) 293-3465

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1999

Enumeration DateMay 27, 2008

Last NPPES UpdateApril 15, 20228 updates tracked since enumeration

NPPES CertifiedApril 15, 2022

✔ NPI 1386802460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

Licenses✔ Licensed in WV · 28387✔ Licensed in OH · 35092132

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License 28387 (WV)

2050 KENNY RD, Columbus, OH 43221

Open in Google Maps ↗

Secondary Practice Location 1

Location 12050 Kenny Rd, Tower, 8th FloorColumbus, OH 43221-3502 · Phone (614) 293-7171 · Fax (614) 366-0003

Other Identifiers 1

Medicaid2902229OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carl Richard Schmidt 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 ID7214004084

PECOS Enrollment IDI20181016001113

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.

Medicare Billing Reassignment

Medicare enrollment records show Carl Schmidt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wvu Medical Corporation

156 mi

Neurological Surgery

227 MEDICAL PARK DRIVE
Bridgeport, WV 26330

Reassigned Medicare billing, West Virginia enrollment
Medicare enrollment name: West Virginia University Medical Corporation
2,471 clinicians in this Medicare group

NPI 1245625581 (681) 342-3500

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 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.

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.

27 services27 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.

23 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 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.

13 services12 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.

12 services12 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510006

Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County

Emergency services Birthing friendly

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510050

Location1 Medical ParkWheeling, WV 26003 · Ohio County

Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510058

Location800 Garfield AveParkersburg, WV 26101 · Wood County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43221 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

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.

JOSHUA REARDON PHARMD, RPH

Pharmacist (Oncology)

2050 KENNY RD, ROOM 824
COLUMBUS, OH 43221

Franklin County (614) 366-0558

EMPICARE, INC.

Prosthetic/Orthotic Supplier

2050 KENNY RD, SUITE 3300
COLUMBUS, OH 43221

Franklin County (614) 293-2754

PRIYA HARAKH DEDHIA M.D.

Surgery (Surgical Oncology)