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JOSEPH WILLIAM SCHMITZ M.D.
NPI 1467523571
Ophthalmology in San Diego, CA

Active since November 11, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6700 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joseph William Schmitz M.d. NPPES

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

JOSEPH WILLIAM SCHMITZ M.D. (NPI 1467523571) is an individual ophthalmology provider in San Diego, California, licensed in California (A96617) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2005).

NPPES Registry Identity

NPI1467523571
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOSEPH WILLIAM SCHMITZCredential: M.D.
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing Address1856 Plaza Palo AltoChula Vista, CA 91914-4621
Phone(619) 532-6700
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2005
Enumeration DateNovember 11, 2006
Last NPPES UpdateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1467523571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A96617
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
34800 BOB WILSON DR, San Diego, CA 92134
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A966170CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. 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

Joseph William Schmitz 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 ID3375706278
PECOS Enrollment IDI20250904002289
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

2

Medicare enrollment records show Joseph Schmitz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scottsdale Center For Sight, Plc
311 mi
Ophthalmology
14269 N 87TH ST STE 203
Scottsdale, AZ 85260
  • Reassigned Medicare billing, Arizona enrollment
  • 11 clinicians in this Medicare group
NPI 1265591374 (480) 483-8882
Sharpevision PLLC
1,062 mi
Ophthalmology
3025 112TH AVE NE STE 200
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 6 clinicians in this Medicare group
NPI 1164788279 (425) 451-2020

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 9

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
87 services85 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
73 services52 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
33 services28 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
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.
21 services20 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Evergreenhealth Monroe

Acute Care Hospitals · Monroe, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500084
Location14701 179th Ave SEMonroe, WA 98272 · Snohomish County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92134 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

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.

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
JANELLE MARIE MARRA DO
Family Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Joseph Schmitz's NPI number?

The NPI number for Joseph Schmitz is 1467523571. It was assigned to this individual provider in the NPPES registry on November 11, 2006.

Where is Joseph Schmitz located?

Joseph Schmitz practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-6700.

What is Joseph Schmitz's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Joseph Schmitz enrolled in Medicare?

Yes. Joseph Schmitz 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 Joseph Schmitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Schmitz reassigns Medicare benefits to 2 organizations: Scottsdale Center For Sight, Plc (Scottsdale, AZ) and Sharpevision PLLC (Bellevue, WA). 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 Joseph Schmitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Schmitz accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Joseph Schmitz 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 Joseph Schmitz affiliated with any hospitals?

According to CMS data, Joseph Schmitz is affiliated with Evergreenhealth Monroe.

When was this NPI record last updated?

The NPPES record for Joseph Schmitz was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.