ELENA A SCHMUTER D.O.
NPI 1659433126
Internal Medicine in Amityville, NY

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
333 BROADWAY, AMITYVILLE, NY 11701(631) 789-2020(631) 789-5669 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elena A Schmuter D.o. NPPES

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

ELENA A SCHMUTER D.O. (NPI 1659433126) is an individual internal medicine provider in Amityville, New York, licensed in New York (239634) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2003).

NPPES Registry Identity

NPI1659433126
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELENA A SCHMUTERCredential: D.O.
Location Address333 BROADWAYAmityville, NY 11701-2719
Mailing Address333 BroadwayAmityville, NY 11701-2719 · (631) 789-2020 · Fax (631) 789-5669
Fax(631) 789-5669
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2003
Enumeration DateDecember 14, 2006
Last NPPES UpdateNovember 1, 2011
NPI 1659433126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 239634
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

333 BROADWAY, Amityville, NY 11701

Other Identifiers 3

Medicare UPINI71355NY
Other239634NY · License
Medicare PIN652ALAA791NY

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

Elena A Schmuter D.o. 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 ID7810091816
PECOS Enrollment IDI20070402000070
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,992 services348 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
960 services151 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
559 services210 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
475 services203 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
411 services283 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
319 services238 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Plainview Hospital

Acute Care Hospitals · Plainview, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330331
Location888 Old Country RoadPlainview, NY 11803 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11701 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 20

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers23 claims23 services$23.52 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers20 claims20 services$9.34 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers29 claims903 services$6.54 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims443 services$15.90 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims144 services$9.37 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
2 suppliers44 claims1,599 services$0.86 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.

Nurse Practitioner (Adult Health)
333 BROADWAY
AMITYVILLE, NY 11701
Physical Therapist
333 BROADWAY, SUITE 2
AMITYVILLE, NY 11701
Nurse Practitioner
333 BROADWAY
AMITYVILLE, NY 11701
Internal Medicine (Infectious Disease)
333 BROADWAY
AMITYVILLE, NY 11701
Internal Medicine
333 BROADWAY
AMITYVILLE, NY 11701
Obstetrics & Gynecology
333 BROADWAY
AMITYVILLE, NY 11701
Internal Medicine
333 BROADWAY
AMITYVILLE, NY 11701
Internal Medicine (Infectious Disease)
333 BROADWAY
AMITYVILLE, NY 11701

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 Elena Schmuter's NPI number?

The NPI number for Elena Schmuter is 1659433126. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Elena Schmuter located?

Elena Schmuter practices at 333 Broadway, Amityville, NY 11701. The listed phone number is (631) 789-2020.

What is Elena Schmuter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elena Schmuter enrolled in Medicare?

Yes. Elena Schmuter 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.

Is Elena Schmuter affiliated with any hospitals?

According to CMS data, Elena Schmuter is affiliated with North Shore University Hospital and Plainview Hospital.

When was this NPI record last updated?

The NPPES record for Elena Schmuter was last updated on November 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.