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ROBERT E SCHMUS MD
NPI 1497738637
Surgery in Darlington, WI

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
800 CLAY ST, DARLINGTON, WI 53530(608) 776-4466(608) 776-5777 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert E Schmus Md NPPES

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

ROBERT E SCHMUS MD (NPI 1497738637) is an individual surgery provider in Darlington, Wisconsin, licensed in Wisconsin (21838020) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Lafayette County, and is a graduate of Medical College Of Wisconsin (1977).

NPPES Registry Identity

NPI1497738637
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameROBERT E SCHMUSCredential: MD
Location Address800 CLAY STDarlington, WI 53530-1228
Mailing Address800 Clay StDarlington, WI 53530-1228 · (608) 776-4466 · Fax (608) 776-5777
Phone(608) 776-4466
Fax(608) 776-5777
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1977
Enumeration DateNovember 22, 2005
Last NPPES UpdateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1497738637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 21838020
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
800 CLAY ST, Darlington, WI 53530
Open in Google Maps ↗

Other Identifiers 1

Medicaid30465900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, Group Health Cooperative-SCW.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

Robert E Schmus Md 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 ID1658401021
PECOS Enrollment IDI20100610000932
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

4

Medicare enrollment records show Robert Schmus reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upland Hills Health, Inc.
13 mi
Family Medicine
104 HIGH ST
Mineral Point, WI 53565
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1487745501 (Wisconsin)
  • 166 clinicians in this Medicare group
NPI 1093299166 (608) 987-2346
Mile Bluff Medical Center Inc
64 mi
Rural Health
28 COMMERCE ST
Wisconsin Dells, WI 53965
  • Reassigned Medicare billing, Wisconsin enrollment
  • 189 clinicians in this Medicare group
NPI 1487734380 (608) 254-5888
St. Joseph's Health Services, Inc
67 mi
Rural Health
301 RAILROAD RD
Wonewoc, WI 53968
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: St Josephs Health Services Inc
  • 282 clinicians in this Medicare group
NPI 1881607463 (608) 464-3575
Moundview Memorial Hospital & Clinics, Inc.
89 mi
Rural Health
207 N PIONEER PARK RD, UNIT 8
Westfield, WI 53964
  • Reassigned Medicare billing, Wisconsin enrollment
  • 280 clinicians in this Medicare group
NPI 1861829194 (608) 296-6350

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 2

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

Memorial Hospital Of Lafayette County

Critical Access Hospitals · Darlington, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number521312
Location800 Clay StDarlington, WI 53530 · Lafayette County
Emergency services

Upland Hills Health

Critical Access Hospitals · Dodgeville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521352
Location800 Compassion WayDodgeville, WI 53533 · Iowa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53530 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 8

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

MR. WILLIAM THOMAS STONEKING CRNA
Nurse Anesthetist, Certified Registered
800 CLAY ST
DARLINGTON, WI 53530
Lafayette County (608) 776-4466
KARI M DEPAUW PA
Physician Assistant (Medical)
800 CLAY ST
DARLINGTON, WI 53530
Lafayette County (608) 776-4466
CRAIG A DOPF MD
Orthopaedic Surgery
800 CLAY ST
DARLINGTON, WI 53530
Lafayette County (608) 776-5748
LAFAYETTE COUNTY
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
800 CLAY ST
DARLINGTON, WI 53530
Lafayette County (608) 776-4466
NELLA BERNARDONI
Physical Therapist
800 CLAY ST
DARLINGTON, WI 53530
Lafayette County (608) 776-4466
VENKATA YEARVA M.D.
Internal Medicine
800 CLAY ST
DARLINGTON, WI 53530
Lafayette County (419) 552-5915
ORTHOPAEDIC & SPORTS MEDICINE CLINIC
Orthopaedic Surgery
800 CLAY ST
DARLINGTON, WI 53530
Lafayette County (608) 776-4466
SYDNEY STAVER OT
Occupational Therapist
800 CLAY ST
DARLINGTON, WI 53530
Lafayette County (608) 776-4466

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 Robert Schmus's NPI number?

The NPI number for Robert Schmus is 1497738637. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Robert Schmus located?

Robert Schmus practices at 800 Clay St, Darlington, WI 53530. The listed phone number is (608) 776-4466.

What is Robert Schmus's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Schmus enrolled in Medicare?

Yes. Robert Schmus 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 Robert Schmus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Schmus reassigns Medicare benefits to 4 organizations: Upland Hills Health, Inc. (Mineral Point, WI), Mile Bluff Medical Center Inc (Wisconsin Dells, WI), St. Joseph's Health Services, Inc (Wonewoc, WI) and Moundview Memorial Hospital & Clinics, Inc. (Westfield, WI). 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 Robert Schmus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Schmus accept?

Health plans from Dean Health Plan and Group Health Cooperative-SCW list Robert Schmus 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 Robert Schmus affiliated with any hospitals?

According to CMS data, Robert Schmus is affiliated with Memorial Hospital Of Lafayette County and Upland Hills Health.

When was this NPI record last updated?

The NPPES record for Robert Schmus was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.