GENE SCHWARTZ M.D.
NPI 1457618456
Internal Medicine in Trenton, ND

Active since April 13, 2012PECOS EnrolledAccepts Medicare Assignment
53.88/100
CMS Quality Rating
331 4TH AVE E, TRENTON, ND 58853(701) 572-8316 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2025, May 9, 2025, Jan 2, 2025 and 1 more (4 updates tracked since 2016).

About Gene Schwartz M.d. NPPES

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

GENE SCHWARTZ M.D. (NPI 1457618456) is an individual internal medicine provider in Trenton, North Dakota, licensed in Louisiana (345602) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1457618456
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGENE SCHWARTZCredential: M.D.
Location Address331 4TH AVE ETrenton, ND 58853-9998
Mailing AddressPo Box 210Trenton, ND 58853-0210 · (701) 572-8316
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2012
Enumeration DateApril 13, 2012
Last NPPES UpdateJuly 2, 20254 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1457618456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in LA · 345602✔ Licensed in OH · 35.126773✔ Licensed in IN · 01096039A✔ Licensed in WI · 61521-20✔ Licensed in WA · MD61227265
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
331 4TH AVE E, Trenton, ND 58853

Secondary Practice Locations 3

Location 11301 Solona Blvd Ste 2200Westlake, TX 76262-1769 · Phone (817) 767-6215 · Fax (817) 796-1824
Location 2PO Box 210Trenton, ND 58853-0210 · Phone (701) 572-8316
Location 32001 W 86th StIndianapolis, IN 46260-1902 · Phone (317) 338-2345

Accepted 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

Gene 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 ID8527371392
PECOS Enrollment IDI20250505002823, I20250512000427, I20250627003273
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 Reassignments

10

Medicare enrollment records show Gene Schwartz reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
331 4TH AVE E
Trenton, ND 58853
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group
Rural
1300 HOSPITAL LOOP
Belcourt, ND 58316
  • Reassigned Medicare billing, Texas enrollment
  • 193 clinicians in this Medicare group
Family Medicine
131 RED DEVIL DRIVE
Hulett, WY 82720
  • Reassigned Medicare billing, Wyoming enrollment
  • 285 clinicians in this Medicare group
Hospitalist
214 E 23RD ST
Cheyenne, WY 82001
  • Reassigned Medicare billing, Wyoming enrollment
  • 70 clinicians in this Medicare group
Hospitalist
15 SALT CREEK LN, SUITE 111
Hinsdale, IL 60521
  • Reassigned Medicare billing, Illinois enrollment
  • 108 clinicians in this Medicare group
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group
Family Medicine
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 510 clinicians in this Medicare group
Internal Medicine
6001 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 776 clinicians in this Medicare group
Internal Medicine
2420 LAKE AVE
Ashtabula, OH 44004
  • Reassigned Medicare billing, Ohio enrollment
  • 272 clinicians in this Medicare group
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Louisiana enrollment
  • 52 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Lane Regional Medical Center

Acute Care Hospitals · Zachary, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190020
Location6300 Main StreetZachary, LA 70791 · E. Baton Rouge County
Emergency services Birthing friendly

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Campbell County Health

Acute Care Hospitals · Gillette, WY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530002
Location501 South Burma AvenueGillette, WY 82716 · Campbell County
Emergency services

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number530014
Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58853 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

53.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.25
Promoting Interoperability0
Improvement Activities40
Cost36.68

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%113 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 18

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

Dentist (General Practice)
331 4TH AVE E
TRENTON, ND 58853
Dentist
331 4TH AVE E
TRENTON, ND 58853
Dentist
331 4TH AVE E
TRENTON, ND 58853
Advanced Practice Midwife
331 4TH AVE E
TRENTON, ND 58853
Registered Nurse
331 4TH AVE E
TRENTON, ND 58853
Clinic/Center
331 4TH AVE E
TRENTON, ND 58853
Clinic/Center (Rural Health)
331 4TH AVE E
TRENTON, ND 58853
Health Maintenance Organization
331 4TH AVE E, BUILDING 3
TRENTON, ND 58853

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 Gene Schwartz's NPI number?

The NPI number for Gene Schwartz is 1457618456. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Gene Schwartz located?

Gene Schwartz practices at 331 4th Ave E, Trenton, ND 58853. The listed phone number is (701) 572-8316.

What is Gene Schwartz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gene Schwartz enrolled in Medicare?

Yes. Gene 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.

Which organizations bill Medicare for Gene Schwartz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gene Schwartz reassigns Medicare benefits to 10 organizations: Trenton Indian Service Area (Trenton, ND), Quentin N Burdick Comprehensive Health Care Facility (Belcourt, ND), Campbell County Hospital District (Hulett, WY), Summit Hospitalist Group LLC (Cheyenne, WY), Inpatient Consultants Of Illinois, P.C. (Hinsdale, IL) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gene Schwartz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gene Schwartz accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, CareSource, Sanford Health Plan and Select Health list Gene 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 Gene Schwartz affiliated with any hospitals?

According to CMS data, Gene Schwartz is affiliated with Ascension St Vincent Hospital, Lane Regional Medical Center, Billings Clinic, Campbell County Health and Cheyenne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Gene Schwartz was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.