DR. JOSEPH S SCHMUTZ M.D.
NPI 1477870814
Ophthalmology in Provo, UT

Active since April 26, 2010PECOS EnrolledAccepts Medicare Assignment
85.09/100
CMS Quality Rating
1735 N STATE ST, PROVO, UT 84604(801) 374-1818 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joseph S Schmutz M.d. NPPES

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

DR. JOSEPH S SCHMUTZ M.D. (NPI 1477870814) is an individual ophthalmology provider in Provo, Utah, licensed in Utah (8871625-1205) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Spanish Fork Hospital, and is a graduate of University Of Utah School Of Medicine (2010).

NPPES Registry Identity

NPI1477870814
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOSEPH S SCHMUTZCredential: M.D.
Location Address1735 N STATE STProvo, UT 84604-1010
Mailing Address1735 N State StProvo, UT 84604-1010 · (801) 374-1818
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2010
Enumeration DateApril 26, 2010
Last NPPES UpdateJuly 22, 2014
NPI 1477870814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in UT · 8871625-1205
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.

1735 N STATE ST, Provo, UT 84604

Accepted 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

Dr. Joseph S Schmutz 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 ID6800029588
PECOS Enrollment IDI20140609000446
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 14

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.
485 services453 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.
271 services115 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
242 services141 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
175 services137 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.
99 services93 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.
95 services95 patients

Hospital Affiliations CMS Care Compare 2

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

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460062
Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County
Emergency services Birthing friendly

Delta Community Hospital

Critical Access Hospitals · Delta, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461300
Location126 South White Sage AvenueDelta, UT 84624 · Millard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

85.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.31
Improvement Activities40
Cost51.57

Other Providers at the Same Location NPPES 19

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

Ophthalmology (Retina Specialist)
1735 N STATE ST
PROVO, UT 84604
Ophthalmology
1735 N STATE ST
PROVO, UT 84604
Ophthalmology
1735 N STATE ST
PROVO, UT 84604
Ophthalmology
1735 N STATE ST
PROVO, UT 84604
Ophthalmology
1735 N STATE ST
PROVO, UT 84604
Ophthalmology
1735 N STATE ST
PROVO, UT 84604
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1735 N STATE ST
PROVO, UT 84604
Eyewear Supplier
1735 N STATE ST
PROVO, UT 84604

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 Schmutz's NPI number?

The NPI number for Joseph Schmutz is 1477870814. It was assigned to this individual provider in the NPPES registry on April 26, 2010.

Where is Joseph Schmutz located?

Joseph Schmutz practices at 1735 N State St, Provo, UT 84604. The listed phone number is (801) 374-1818.

What is Joseph Schmutz's specialty?

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

Is Joseph Schmutz enrolled in Medicare?

Yes. Joseph Schmutz 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 Joseph Schmutz accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Joseph Schmutz 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 Schmutz affiliated with any hospitals?

According to CMS data, Joseph Schmutz is affiliated with Spanish Fork Hospital and Delta Community Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Schmutz was last updated on July 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.