THOMAS MICHAEL SCHMELZER MD
NPI 1558499301
Surgery - Pediatric Surgery in Charlotte, NC
About Thomas Michael Schmelzer Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS MICHAEL SCHMELZER MD (NPI 1558499301) is an individual pediatric surgery provider in Charlotte, North Carolina, licensed in North Carolina (2012-00428) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of University Of Louisville School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses 2
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
Thomas Michael Schmelzer 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.
Medicare Billing Reassignments
6Medicare enrollment records show Thomas Schmelzer reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28207
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Charlotte, NC 28207
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Pediatric Surgical Associates PA
- 5 clinicians in this Medicare group
Charlotte, NC 28207
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Charlotte, NC 28207
- Reassigned Medicare billing, North Carolina enrollment
- Also billed through NPI 1427561638 (North Carolina)
- 1,646 clinicians in this Medicare group
Hickory, NC 28602
- Reassigned Medicare billing, North Carolina enrollment
- 35 clinicians in this Medicare group
Carolina Shores, NC 28467
- Reassigned Medicare billing, North Carolina enrollment
- 710 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
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 Thomas Schmelzer's NPI number?
The NPI number for Thomas Schmelzer is 1558499301. It was assigned to this individual provider in the NPPES registry on March 2, 2007.
Where is Thomas Schmelzer located?
Thomas Schmelzer practices at 1900 Randolph Rd Suite 210, Charlotte, NC 28207. The listed phone number is (704) 370-0223.
What is Thomas Schmelzer's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Thomas Schmelzer enrolled in Medicare?
Yes. Thomas Schmelzer 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 Thomas Schmelzer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Schmelzer reassigns Medicare benefits to 6 organizations: Novant Health Medical Group, LLC (Charlotte, NC), Pediatric Surgical Associates, P.A. (Charlotte, NC), Carolinas Medical Center (Charlotte, NC), Carolinas Physicians Network Inc (Charlotte, NC), Atrium Health Childrens Specialty Network Inc (Hickory, NC) and 1 more organization, 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 Thomas Schmelzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Schmelzer accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and BlueCross BlueShield of South Carolina and 1 other insurer list Thomas Schmelzer 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 Thomas Schmelzer affiliated with any hospitals?
According to CMS data, Thomas Schmelzer is affiliated with Carolinas Medical Center/Behav Health.
When was this NPI record last updated?
The NPPES record for Thomas Schmelzer was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Thomas Michael Schmelzer, MD · NPI 1558499301
Pediatric Surgery physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since March 2, 2007.
## Identity
- **NPI:** 1558499301 (Entity type: Individual)
- **Enumerated:** March 2, 2007
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 2012-00428 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 RANDOLPH RD, SUITE 210, Charlotte, NC 28207-1122
- **Phone:** (704) 370-0223 · **Fax:** (704) 370-0799
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Novant Health Medical Group, LLC (NPI 1003235524, Charlotte, NC); Pediatric Surgical Associates, P.A. (NPI 1174640163, Charlotte, NC); Carolinas Medical Center (NPI 1326110909, Charlotte, NC); Carolinas Physicians Network Inc (NPI 1538482914, Charlotte, NC); Atrium Health Childrens Specialty Network Inc (NPI 1962218057, Hickory, NC); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** April 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1558499301) · Data from the CMS NPPES public registry.