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TED LE SCHWARM M.D.
NPI 1528295680
Family Medicine in Sumner, IA

Active since June 16, 2009PECOS EnrolledAccepts Medicare Assignment
909 W 1ST ST, SUMNER, IA 50674(563) 578-5375(563) 578-5437 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1528295680
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTED LE SCHWARMCredential: M.D.
Location Address909 W 1ST STSumner, IA 50674-1203
Mailing Address909 W 1st St, P.o. Box 148Sumner, IA 50674-1203 · (563) 578-5375 · Fax (563) 578-5437
Phone(563) 578-5375
Fax(563) 578-5437
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 16, 2009
✔ NPI 1528295680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 38144
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.
909 W 1ST ST, Sumner, IA 50674
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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

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.

PECOS PAC ID3173677499
PECOS Enrollment IDI20090820000166
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
191 services183 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
83 services82 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
39 services38 patients

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, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number160040
Location515 College StreetCedar Falls, IA 50613 · Black Hawk County
Emergency services

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160067
Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County
Emergency services Birthing friendly

Mercyone Oelwein Medical Center

Critical Access Hospitals · Oelwein, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number161338
Location201 Eighth Avenue SEOelwein, IA 50662 · Fayette County
Emergency services

Physician 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.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$66.46 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers18 claims18 services$18.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers26 claims26 services$108.30 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 15

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

ROBERTA A MITTELSTED ARNP
Nurse Practitioner (Family)
909 W 1ST ST
SUMNER, IA 50674
Bremer County (563) 578-5375
DR. LONNY D MILLER MD
Family Medicine
909 W 1ST ST
SUMNER, IA 50674
Bremer County (563) 578-5375
MRS. KELSEY LYNN KERNS DPT
Physical Therapist
909 W 1ST ST
SUMNER, IA 50674
Bremer County (563) 578-2139
SUMNER COMMUNITY CLUB
Medicare Defined Swing Bed Unit
909 W 1ST ST
SUMNER, IA 50674
Bremer County (563) 578-3275
MARY PAT ROSMAN DO
Family Medicine
909 W 1ST ST
SUMNER, IA 50674
Bremer County (563) 578-3244
MS. DEBORAH LYNNE EDWARDS RD, LD
Dietitian, Registered
909 W 1ST ST, COMMUNITY MEMORIAL HOSPITAL
SUMNER, IA 50674
Bremer County (563) 578-3275
JESSICA LYNNE ZMOOS PT, DPT
Physical Therapist
909 W 1ST ST
SUMNER, IA 50674
Bremer County (563) 578-2139
SUNBIR SINGH GILL DO
Family Medicine
909 W 1ST ST
SUMNER, IA 50674
Bremer County (563) 578-3275

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.

What insurance does Ted Schwarm accept?

Health plans from Medica and Oscar Insurance Company 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.