JOSEPH F SCHWARTZ M.D.
NPI 1619978350
Orthopaedic Surgery - Hand Surgery in Merrillville, IN

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9001 BROADWAY, MERRILLVILLE, IN 46410(219) 795-3360(219) 756-6500 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph F Schwartz M.d. NPPES

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

JOSEPH F SCHWARTZ M.D. (NPI 1619978350) is an individual hand surgery provider in Merrillville, Indiana, licensed in Indiana (01042573A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1988).

NPPES Registry Identity

NPI1619978350
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameJOSEPH F SCHWARTZCredential: M.D.
Location Address9001 BROADWAYMerrillville, IN 46410-7039
Mailing Address9001 BroadwayMerrillville, IN 46410-7039 · (219) 795-3360 · Fax (219) 756-6500
Fax(219) 756-6500
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1988
Enumeration DateAugust 3, 2005
Last NPPES UpdateJanuary 15, 2010
NPI 1619978350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in IN · 01042573A
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
9001 BROADWAY, Merrillville, IN 46410

Other Identifiers 3

Medicare ID-Type Unspecified167100AIN · Medicare Provider Number
Medicaid200030460IN
Medicare UPINF82877IN

Accepted 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

Joseph F Schwartz 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 ID2365462025
PECOS Enrollment IDI20051128000444
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 31

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,709 services343 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
372 services258 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
244 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
242 services242 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
197 services131 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
148 services133 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 5

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers20 claims20 services$86.28 avg. paid by Medicare
Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3808
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$235.50 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier76 claims93 services$49.57 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$190.50 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923
DME-Orthotic Devices · category DF000N
1 supplier45 claims56 services$68.92 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 20

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

Physician Assistant
9001 BROADWAY
MERRILLVILLE, IN 46410
Podiatrist
9001 BROADWAY
MERRILLVILLE, IN 46410
Physician Assistant
9001 BROADWAY
MERRILLVILLE, IN 46410
Physician Assistant
9001 BROADWAY
MERRILLVILLE, IN 46410
Physician Assistant (Medical)
9001 BROADWAY
MERRILLVILLE, IN 46410
Orthopaedic Surgery
9001 BROADWAY
MERRILLVILLE, IN 46410
Physician Assistant
9001 BROADWAY
MERRILLVILLE, IN 46410
Internal Medicine (Cardiovascular Disease)
9001 BROADWAY, SUITE D
MERRILLVILLE, IN 46410

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 Joseph Schwartz's NPI number?

The NPI number for Joseph Schwartz is 1619978350. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Joseph Schwartz located?

Joseph Schwartz practices at 9001 Broadway, Merrillville, IN 46410. The listed phone number is (219) 795-3360.

What is Joseph Schwartz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Joseph Schwartz enrolled in Medicare?

Yes. Joseph Schwartz 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 Joseph Schwartz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Joseph Schwartz 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 Joseph Schwartz affiliated with any hospitals?

According to CMS data, Joseph Schwartz is affiliated with St Mary Medical Center Inc, Community Hospital and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Joseph Schwartz was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.