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DR. MARK P SCHMELTZ DO
NPI 1487653408
Family Medicine in Granger, IN

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
12340 BITTERSWEET COMMONS BLVD W, GRANGER, IN 46530(574) 271-8610(574) 271-8620 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2023, Apr 5, 2021, Jul 25, 2017 (3 updates tracked since 2017).

About Dr. Mark P Schmeltz Do NPPES

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

DR. MARK P SCHMELTZ DO (NPI 1487653408) is an individual family medicine provider in Granger, Indiana, licensed in Indiana (02002103A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1487653408
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK P SCHMELTZCredential: DO
Location Address12340 BITTERSWEET COMMONS BLVD WGranger, IN 46530-6959
Mailing Address3245 Health Dr, Ste 100Granger, IN 46530-1380
Phone(574) 271-8610
Fax(574) 271-8620
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1998
Enumeration DateJuly 20, 2005
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1487653408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02002103A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12340 BITTERSWEET COMMONS BLVD W, Granger, IN 46530
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Other Identifiers 1

Medicaid200243660IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Mark P Schmeltz Do 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 ID9739156720
PECOS Enrollment IDI20040910000164
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 11

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 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.
378 services225 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
173 services173 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.
151 services113 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
113 services101 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
101 services20 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
39 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Ascension Borgess Lee Hospital

Critical Access Hospitals · Dowagiac, MI
OwnershipVoluntary non-profit - Church
CMS Certification Number231315
Location420 W High StDowagiac, MI 49047 · Cass County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46530 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers29 claims70 services$5.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims20 services$0.90 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers14 claims14 services$34.44 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers12 claims12 services$49.61 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers14 claims14 services$19.15 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers22 claims132 services$2.03 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 4

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

BEACON MEDICAL GROUP, INC.
Family Medicine
12340 BITTERSWEET COMMONS BLVD W
GRANGER, IN 46530
St. Joseph County (574) 271-8610
DR. SHELLEY A. MORRIS D.O.
Family Medicine
12340 BITTERSWEET COMMONS BLVD W
GRANGER, IN 46530
St. Joseph County (574) 271-8610
DANIELLE BROWN PA
Physician Assistant
12340 BITTERSWEET COMMONS BLVD W
GRANGER, IN 46530
St. Joseph County (574) 271-8610
DR. CYNTHIA LYNN PASCUAL M.D.
Family Medicine
12340 BITTERSWEET COMMONS BLVD W
GRANGER, IN 46530
St. Joseph County (574) 271-8610

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 Mark Schmeltz's NPI number?

The NPI number for Mark Schmeltz is 1487653408. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Mark Schmeltz located?

Mark Schmeltz practices at 12340 Bittersweet Commons Blvd W, Granger, IN 46530. The listed phone number is (574) 271-8610.

What is Mark Schmeltz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Schmeltz enrolled in Medicare?

Yes. Mark Schmeltz 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 Mark Schmeltz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Priority Health list Mark Schmeltz 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 Mark Schmeltz affiliated with any hospitals?

According to CMS data, Mark Schmeltz is affiliated with Elkhart General Hospital, Memorial Hospital Of South Bend, Lakeland Hospital, St Joseph and Ascension Borgess Lee Hospital.

When was this NPI record last updated?

The NPPES record for Mark Schmeltz was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.