ALAN SCHWARTZ M.D.
NPI 1639194392
Internal Medicine - Pulmonary Disease in Baltimore, MD

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
89.25/100
CMS Quality Rating
5501 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224(410) 550-5864 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alan Schwartz M.d. NPPES

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

ALAN SCHWARTZ M.D. (NPI 1639194392) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (D32079) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1981).

NPPES Registry Identity

NPI1639194392
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameALAN SCHWARTZCredential: M.D.
Location Address5501 HOPKINS BAYVIEW CIRBaltimore, MD 21224-6821
Mailing AddressPo Box 64264Baltimore, MD 21264-4264 · (410) 550-5864
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1981
Enumeration DateJuly 13, 2006
Last NPPES UpdateFebruary 18, 2013
NPI 1639194392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MD · D32079
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
5501 HOPKINS BAYVIEW CIR, Baltimore, MD 21224

Other Identifiers 3

Medicaid376891100MD
Medicare UPIND77820MD
Medicare PINKR66MI28MD

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

Alan 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 ID9133317969
PECOS Enrollment IDI20101221000705
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 8

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
151 services101 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
88 services87 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
49 services49 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
32 services32 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
26 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

89.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.87
Promoting Interoperability100
Improvement Activities40
Cost77.3

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers65 claims65 services$34.11 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers21 claims21 services$73.08 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers21 claims59 services$28.19 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers50 claims276 services$17.11 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers30 claims151 services$13.41 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers83 claims83 services$47.93 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.

Specialist/Technologist, Pathology (Immunology)
5501 HOPKINS BAYVIEW CIR, ROOM 1A20, JH ASTHMA ALLERGY CENTER
BALTIMORE, MD 21224
Nurse Practitioner (Adult Health)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Psychiatry & Neurology (Neurology)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Psychologist (Clinical)
5501 HOPKINS BAYVIEW CIR, ROOM 4B.74
BALTIMORE, MD 21224
Internal Medicine
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Pulmonary Disease)
5501 HOPKINS BAYVIEW CIR, 4TH FLOOR
BALTIMORE, MD 21224
Nurse Practitioner (Family)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Pulmonary Disease)
5501 HOPKINS BAYVIEW CIR, ASTHMA AND ALLERGY BUILDING 4TH FLOOR
BALTIMORE, MD 21224

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 Alan Schwartz's NPI number?

The NPI number for Alan Schwartz is 1639194392. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Alan Schwartz located?

Alan Schwartz practices at 5501 Hopkins Bayview Cir, Baltimore, MD 21224. The listed phone number is (410) 550-5864.

What is Alan Schwartz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Alan Schwartz enrolled in Medicare?

Yes. Alan 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.

When was this NPI record last updated?

The NPPES record for Alan Schwartz was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.