MICHAEL S SCHWARTZ M.D.
NPI 1427041557
Orthopaedic Surgery in Plano, TX

Q: What is Michael Schwartz's NPI number?

The NPI number for Michael Schwartz is 1427041557. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Q: What is Michael Schwartz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Schwartz was last updated on May 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 24, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

4031 W PLANO PKWY, SUITE 100, PLANO, TX 75093(972) 985-1072(972) 964-3469 Get Directions Write a Review

NPPES record last updated: May 23, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Michael S Schwartz M.d. NPPES

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

MICHAEL S SCHWARTZ M.D. (NPI 1427041557) is an individual orthopaedic surgery provider in Plano, Texas, licensed in Texas (K3848) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of State University Of New York At Buffalo School Of Medicine (1992).

NPPES Registry Identity

NPI1427041557

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMICHAEL S SCHWARTZCredential: M.D.

Location Address4031 W PLANO PKWY, SUITE 100Plano, TX 75093-5617

Mailing Address4031 W Plano Pkwy, Suite 100Plano, TX 75093-5617 · (972) 985-1072 · Fax (972) 964-3469

Phone(972) 985-1072

Fax(972) 964-3469

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1992

Enumeration DateAugust 24, 2005

Last NPPES UpdateMay 23, 2013

✔ NPI 1427041557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · K3848

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License K3848 (TX)

4031 W PLANO PKWY, Plano, TX 75093

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Other Identifiers 8

Other8CR149TX · Bcbs Tx 02/01/2011

Medicare ID-Type Unspecified88353JTX

Medicaid046482801TX

OtherP00913337TX · Medicare Railroad - Effect 02/01/2011

OtherTXB117558TX · Medicare Part B - Effect 02/01/2011

Medicare UPING69384TX

Medicare NSC6484850002TX

Medicare NSC6484850006TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare.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

Michael S 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 ID1254426620

PECOS Enrollment IDI20110113000034

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 15

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318

Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.

1,052 services11 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

872 services153 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.

386 services210 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.

296 services188 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.

230 services146 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

155 services99 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.

150 services150 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

148 services125 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

80 services34 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

54 services37 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

39 services22 patients

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326

Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.

39 services28 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

26 services13 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

23 services19 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450771

Location6200 W Parker RdPlano, TX 75093 · Collin County

Emergency services Birthing friendly

Baylor Scott & White Medical Center - Frisco

Acute Care Hospitals · Frisco, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450853

Location5601 Warren ParkwayFrisco, TX 75034 · Denton County

Emergency services Birthing friendly

Methodist Mckinney Hospital

Acute Care Hospitals · Mckinney, TX

OwnershipProprietary

CMS Certification Number670069

Location8000 W Eldorado Pkwy Bldg C Suite CMckinney, TX 75070 · Collin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

75/100

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

Scored as part of a group practice

Reported Quality Measures

Clinical Information Reconciliation

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.

92%267 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

86%78 patients3/55-star benchmark: 100%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

72%613 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…

0%613 patients1/55-star benchmark: 75%

Send a Summary of Care

For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…

92%267 patients4/55-star benchmark: 100%

View, Download and Transmit (VDT)

During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.

2%613 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820

DME-Orthotic Devices · category DF011N

1 supplier19 claims19 services$107.12 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 20

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

KELLY PETERS PA-C

Physician Assistant

4031 W PLANO PKWY, SUITE 100
PLANO, TX 75093

Collin County (972) 985-1072

SUSAN C HUGHES O.T.

Occupational Therapist

4031 W PLANO PKWY, SUITE 200
PLANO, TX 75093

Collin County (972) 596-1715

HOIC ENTERPRISES LLC

Pharmacy

4031 W PLANO PKWY, SUITE 211
PLANO, TX 75093

Collin County (972) 867-6141

DAWN MATTIX

Physical Therapist

4031 W PLANO PKWY, STE 200
PLANO, TX 75093

Collin County (972) 867-9726

SHANNON R MARRIOTT M.A., LPC

Counselor (Professional)

4031 W PLANO PKWY, SUITE 211
PLANO, TX 75093

Collin County (214) 351-3490

WILLIAM K LANGFORD OPA

Physician Assistant (Medical)

4031 W PLANO PKWY, SUITE 100
PLANO, TX 75093

Collin County (972) 985-1072

MINH NGUYET T TRAN M.D.

Specialist

4031 W PLANO PKWY
PLANO, TX 75093

Collin County (972) 985-1072

AINE P MCKENZIE MD

Physical Medicine & Rehabilitation

4031 W PLANO PKWY, SUITE 100
PLANO, TX 75093

Collin County (972) 985-1072

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 Michael Schwartz's NPI number?

The NPI number for Michael Schwartz is 1427041557. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Michael Schwartz located?

Michael Schwartz practices at 4031 W Plano Pkwy Suite 100, Plano, TX 75093. The listed phone number is (972) 985-1072.

What is Michael Schwartz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Schwartz enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Schwartz accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Molina Healthcare list Michael Schwartz 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 Michael Schwartz affiliated with any hospitals?

According to CMS data, Michael Schwartz is affiliated with Texas Health Presbyterian Hospital Plano, Baylor Scott & White Medical Center - Frisco and Methodist Mckinney Hospital.

When was this NPI record last updated?

The NPPES record for Michael Schwartz was last updated on May 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.