MR. J DOUGLAS SCHUMER D.D.S.
NPI 1477600013
Dentist in Derby, NY

Active since January 05, 2007PECOS Enrolled
6878 ERIE ROAD, SUITE 5, DERBY, NY 14047(716) 947-4652(716) 947-5758 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. J Douglas Schumer D.d.s. NPPES

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

MR. J DOUGLAS SCHUMER D.D.S. (NPI 1477600013) is an individual dentist in Derby, New York, licensed in New York (032982) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477600013
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. J DOUGLAS SCHUMERCredential: D.D.S.
Location Address6878 ERIE ROAD, SUITE 5Derby, NY 14047-9508
Mailing Address6878 Erie Road, Suite 5Derby, NY 14047-9508 · (716) 947-4652 · Fax (716) 947-5758
Fax(716) 947-5758
Sole ProprietorYes
Enumeration DateJanuary 5, 2007
Last NPPES UpdateMarch 17, 2015
NPI 1477600013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NY · 032982
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 032982 (NY)
6878 ERIE ROAD, Derby, NY 14047

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. J Douglas Schumer D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14047 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES

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

Dentist
6878 ERIE ROAD, SUITE 5
DERBY, NY 14047

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477600013, enumerated as an "individual" on January 05, 2007.

The provider is located at 6878 ERIE ROAD SUITE 5 DERBY, NY 14047 and the phone number is (716) 947-4652.

Dentist with taxonomy code 122300000X.