TED LE SCHWARM M.D.
NPI 1528295680
Family Medicine in Sumner, IA
About Ted Le Schwarm M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TED LE SCHWARM M.D. (NPI 1528295680) is an individual family medicine provider in Sumner, Iowa, licensed in Iowa (38144) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Sartori Memorial Hospital, Inc, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ted Le Schwarm 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.
Medicare Billing Reassignments
7Medicare enrollment records show Ted Schwarm reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oelwein, IA 50662
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1528009511 (Iowa)
- 10 clinicians in this Medicare group
Cedar Falls, IA 50613
- Reassigned Medicare billing, Iowa enrollment
- 37 clinicians in this Medicare group
Cedar Falls, IA 50613
- Reassigned Medicare billing, Iowa enrollment
- 20 clinicians in this Medicare group
Waterloo, IA 50702
- Reassigned Medicare billing, Iowa enrollment
- 70 clinicians in this Medicare group
Waterloo, IA 50702
- Reassigned Medicare billing, Iowa enrollment
- 48 clinicians in this Medicare group
Charles City, IA 50616
- Reassigned Medicare billing, Iowa enrollment
- 420 clinicians in this Medicare group
Charles City, IA 50616
- Reassigned Medicare billing, Iowa enrollment
- 78 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sartori Memorial Hospital, Inc
Acute Care Hospitals · Cedar Falls, IAMercyone North Iowa Medical Center
Acute Care Hospitals · Mason City, IAMercyone Waterloo Medical Center
Acute Care Hospitals · Waterloo, IAMercyone Oelwein Medical Center
Critical Access Hospitals · Oelwein, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 50674 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUMNER, IA 50674
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 Ted Schwarm's NPI number?
The NPI number for Ted Schwarm is 1528295680. It was assigned to this individual provider in the NPPES registry on June 16, 2009.
Where is Ted Schwarm located?
Ted Schwarm practices at 909 W 1st St, Sumner, IA 50674. The listed phone number is (563) 578-5375.
What is Ted Schwarm's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ted Schwarm enrolled in Medicare?
Yes. Ted Schwarm 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 Ted Schwarm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ted Schwarm reassigns Medicare benefits to 7 organizations: Mercy Hospital Of Franciscan Sisters Inc (Oelwein, IA), Cedar Falls Emergency Physicians, LLC (Cedar Falls, IA), Sartori Memorial Hospital Inc (Cedar Falls, IA), Iowa Emergency Physicians LLP (Waterloo, IA), Waterloo Emergency Physicians, LLC (Waterloo, IA) and 2 more organizations, listed in the Medicare section above. 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 Ted Schwarm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ted Schwarm accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Ted Schwarm 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 Ted Schwarm affiliated with any hospitals?
According to CMS data, Ted Schwarm is affiliated with Sartori Memorial Hospital, Inc, Mercyone North Iowa Medical Center, Mercyone Waterloo Medical Center and Mercyone Oelwein Medical Center.
When was this NPI record last updated?
The NPPES record for Ted Schwarm was last updated on June 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Ted Le Schwarm, M.D. · NPI 1528295680
Family Medicine physician in Sumner, Iowa. Individual provider, active in the CMS NPPES registry since June 16, 2009.
## Identity
- **NPI:** 1528295680 (Entity type: Individual)
- **Enumerated:** June 16, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 38144 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 909 W 1ST ST, Sumner, IA 50674-1203
- **Phone:** (563) 578-5375 · **Fax:** (563) 578-5437
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Mercy Hospital Of Franciscan Sisters Inc (NPI 1780622613, Oelwein, IA); Cedar Falls Emergency Physicians, LLC (NPI 1255146155, Cedar Falls, IA); Sartori Memorial Hospital Inc (NPI 1710928734, Cedar Falls, IA); Iowa Emergency Physicians LLP (NPI 1386879427, Waterloo, IA); Waterloo Emergency Physicians, LLC (NPI 1649013038, Waterloo, IA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 16, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1528295680) · Data from the CMS NPPES public registry.