GAIL ELIZABETH SCHMALZ PA-C
NPI 1407894116
Physician Assistant in Rockport, ME

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
4 GLEN COVE DR, SUITE 206, ROCKPORT, ME 04856(207) 921-5454 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gail Elizabeth Schmalz Pa-c NPPES

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

GAIL ELIZABETH SCHMALZ PA-C (NPI 1407894116) is an individual physician assistant in Rockport, Maine, licensed in Maine (PA1618) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Penobscot Bay Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2016).

NPPES Registry Identity

NPI1407894116
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGAIL ELIZABETH SCHMALZCredential: PA-C
Location Address4 GLEN COVE DR, SUITE 206Rockport, ME 04856-4235
Mailing Address26 Talbot Ave, Apt CRockland, ME 04841-2983 · (971) 322-7451
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2016
Enumeration DateJune 3, 2006
Last NPPES UpdateJune 24, 2016
NPI 1407894116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ME · PA1618
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
4 GLEN COVE DR, Rockport, ME 04856

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

Gail Elizabeth Schmalz Pa-c 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 ID749575181
PECOS Enrollment IDI20160824000271
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 4

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 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.
53 services44 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
52 services32 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
17 services17 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
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.

Nurse Practitioner (Adult Health)
4 GLEN COVE DR, SUITE 202
ROCKPORT, ME 04856
Hospitalist
4 GLEN COVE DR, SUITE 5
ROCKPORT, ME 04856
Internal Medicine
4 GLEN COVE DR, STE 104
ROCKPORT, ME 04856
Dermatology
4 GLEN COVE DR, PENOBSCOT BAY PHYSICIANS BLDG STE 204
ROCKPORT, ME 04856
Nurse Practitioner
4 GLEN COVE DR, SUITE 103
ROCKPORT, ME 04856
Specialist
4 GLEN COVE DR, SUITE 101
ROCKPORT, ME 04856
Internal Medicine
4 GLEN COVE DR, SUITE 202
ROCKPORT, ME 04856
Specialist
4 GLEN COVE DR, SUITE 107
ROCKPORT, ME 04856

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 Gail Schmalz's NPI number?

The NPI number for Gail Schmalz is 1407894116. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Gail Schmalz located?

Gail Schmalz practices at 4 Glen Cove Dr Suite 206, Rockport, ME 04856. The listed phone number is (207) 921-5454.

What is Gail Schmalz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gail Schmalz enrolled in Medicare?

Yes. Gail Schmalz 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.

Is Gail Schmalz affiliated with any hospitals?

According to CMS data, Gail Schmalz is affiliated with Penobscot Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Gail Schmalz was last updated on June 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.