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MR. TONY A SCHWARTZ M.D.
NPI 1396971164
Family Medicine in Norwich, CT

Active since June 05, 2009PECOS EnrolledAccepts Medicare Assignment
93.56/100
CMS Quality Rating
42 TOWN ST, SUITE 300, NORWICH, CT 06360(860) 886-0567(860) 886-0656 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Tony A Schwartz M.d. NPPES

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

MR. TONY A SCHWARTZ M.D. (NPI 1396971164) is an individual family medicine provider in Norwich, Connecticut, licensed in Connecticut (53550) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1396971164
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. TONY A SCHWARTZCredential: M.D.
Location Address42 TOWN ST, SUITE 300Norwich, CT 06360-2316
Mailing Address112 Lafayette StreetNorwich, CT 06360-2737 · (860) 425-8735 · Fax (860) 425-8707
Phone(860) 886-0567
Fax(860) 886-0656
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 5, 2009
Last NPPES UpdateJuly 30, 2015
✔ NPI 1396971164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 53550
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
42 TOWN ST, Norwich, CT 06360
Open in Google Maps ↗

Other Names 1

Professional Name (2)Mr. Anthony A Schwartz M.d.

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

Mr. Tony A Schwartz 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 ID4183879232
PECOS Enrollment IDI20141030002299
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 8

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.
280 services161 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 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.
59 services53 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
49 services34 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
25 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06360 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

93.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.51
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers29 claims78 services$5.78 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers30 claims30 services$5.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$70.56 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$32.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BASIL PATEL
Pharmacist
42 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 887-1615
STOP AND SHOP SUPERMARKET CO LLC
Pharmacy (Community/Retail Pharmacy)
42 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 887-1615
LAURA MARTIN PHARM.D.
Pharmacist
42 TOWN ST, STOP & SHOP PHARMACY
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 887-1615
SEAN BIALOWAS
Pharmacist
42 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 887-1615
AMY WEIDNER APRN
Nurse Practitioner (Family)
42 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-0567
MADISON NATALIE TOUTANT
Pharmacist
42 TOWN ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 887-1615
LAUREN FRANK PA-C
Physician Assistant
42 TOWN ST, 3300
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 889-8331
DR. ABHIJAY PRABHAKAR KARANDIKAR M.D.
Preventive Medicine (Occupational Medicine)
42 TOWN ST, SUITE 300
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-0567

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 Tony Schwartz's NPI number?

The NPI number for Tony Schwartz is 1396971164. It was assigned to this individual provider in the NPPES registry on June 5, 2009. The provider is also known as Mr. Anthony A Schwartz M.D..

Where is Tony Schwartz located?

Tony Schwartz practices at 42 Town St Suite 300, Norwich, CT 06360. The listed phone number is (860) 886-0567.

What is Tony Schwartz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tony Schwartz enrolled in Medicare?

Yes. Tony Schwartz 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.

When was this NPI record last updated?

The NPPES record for Tony Schwartz was last updated on July 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.