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DR. SCOTT GARY SCHMIDT JR. M.D.
NPI 1578820171
Emergency Medicine in Newark, DE

Active since April 19, 2012PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD, NEWARK, DE 19718(302) 733-1800 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Scott Gary Schmidt Jr. M.d. NPPES

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

DR. SCOTT GARY SCHMIDT JR. M.D. (NPI 1578820171) is an individual emergency medicine provider in Newark, Delaware, licensed in Delaware (207P00000X) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2012).

NPPES Registry Identity

NPI1578820171
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SCOTT GARY SCHMIDT JR.Credential: M.D.
Location Address4755 OGLETOWN STANTON RDNewark, DE 19718-0001
Mailing Address1301 Gilpin Ave, Gilpin Place 2cWilmington, DE 19806-3125 · (215) 518-0105
Phone(302) 733-1800
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2012
Enumeration DateApril 19, 2012
✔ NPI 1578820171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in DE · 207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4755 OGLETOWN STANTON RD, Newark, DE 19718
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan of North Carolina, Inc.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. Scott Gary Schmidt Jr. 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 ID6800019977
PECOS Enrollment IDI20150602002937
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 4

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.
141 services136 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
121 services112 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.
46 services45 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services40 patients

Hospital Affiliations CMS Care Compare 3

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, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Other Providers at the Same Location NPPES 20

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

ALICIA RENEE EDELBLUTE PA-C
Physician Assistant (Medical)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (610) 406-7662
ADEYOYIN R ESAKA FNP
Nurse Practitioner
4755 OGLETOWN STANTON RD, ROOM E1070 CENTER FOR HEART & VASCULAR HEALTH AT CHRIST
NEWARK, DE 19718
New Castle County (302) 623-1929
DR. SEPEHR SEDIGH HAGHIGHAT MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-3901
ZAID A AMMARI M.D. M.P.H.
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000
MURIEL P JURASEVICH CRNP
Nurse Practitioner (Acute Care)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000
JOHN ANDREW POLLOCK
Student in an Organized Health Care Education/Training Program
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (800) 693-2273
MATTHEW JOSEPH HOMISHAK CRNA
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000
MR. THOMAS MICHAEL CARLSON MSN, CRNA
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000

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 Scott Schmidt's NPI number?

The NPI number for Scott Schmidt is 1578820171. It was assigned to this individual provider in the NPPES registry on April 19, 2012.

Where is Scott Schmidt located?

Scott Schmidt practices at 4755 Ogletown Stanton Rd, Newark, DE 19718. The listed phone number is (302) 733-1800.

What is Scott Schmidt's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Scott Schmidt enrolled in Medicare?

Yes. Scott Schmidt 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 Scott Schmidt accept?

Health plans from Molina Healthcare and Oscar Health Plan of North Carolina, Inc list Scott Schmidt 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 Scott Schmidt affiliated with any hospitals?

According to CMS data, Scott Schmidt is affiliated with Carolinas Medical Center/Behav Health, Atrium Health Lincoln and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Scott Schmidt was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.