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ROBERT W SCHUMAN MD
NPI 1689774713
Internal Medicine - Gastroenterology in West Orange, NJ

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
101 OLD SHORT HILLS RD, SUITE 217, WEST ORANGE, NJ 07052(973) 731-4600 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert W Schuman Md NPPES

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

ROBERT W SCHUMAN MD (NPI 1689774713) is an individual gastroenterology provider in West Orange, New Jersey, licensed in New Jersey (MA06245100) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1989).

NPPES Registry Identity

NPI1689774713
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameROBERT W SCHUMANCredential: MD
Location Address101 OLD SHORT HILLS RD, SUITE 217West Orange, NJ 07052-1000
Mailing Address101 Old Short Hills Rd, Suite 217West Orange, NJ 07052-1000 · (973) 731-4600
Phone(973) 731-4600
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1989
Enumeration DateSeptember 25, 2006
Last NPPES UpdateSeptember 26, 2007
✔ NPI 1689774713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · MA06245100
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

101 OLD SHORT HILLS RD, West Orange, NJ 07052
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Other Identifiers 3

Medicare UPINF23976NJ
Medicare PIN743920BQSNJ
Medicaid6584004NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Robert W Schuman 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.

PECOS PAC ID5395795330
PECOS Enrollment IDI20050127000045
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 14

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, 30-39 minutes 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.
504 services333 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
210 services163 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
171 services168 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
136 services136 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
116 services116 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
100 services99 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
26%781 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,950 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%2,808 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%989 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
71%1,689 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
81%1,443 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
98%345 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%1,689 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%1,689 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$2.62 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,400 services$0.89 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.

DR. CHARLES BOWERS M.D.
Specialist
101 OLD SHORT HILLS RD, STE 518
WEST ORANGE, NJ 07052
Essex County (973) 731-9067
ROBERT R TAYLOR MD
Obstetrics & Gynecology (Gynecologic Oncology)
101 OLD SHORT HILLS RD, SUITE 400
WEST ORANGE, NJ 07052
Essex County (973) 243-9300
DR. MINDY S. HOUNG M.D.
Internal Medicine
101 OLD SHORT HILLS RD, SUITE 106
WEST ORANGE, NJ 07052
Essex County (973) 322-6256
WENDY A. PORR N.P.
Nurse Practitioner (Acute Care)
101 OLD SHORT HILLS RD, SUITE 120
WEST ORANGE, NJ 07052
Essex County (973) 731-9598
VIVEK MAHESHWARI M.D.
Surgery
101 OLD SHORT HILLS RD, SUITE 206
WEST ORANGE, NJ 07052
Essex County (973) 731-5005
INTERNAL MEDICINE FACULTY PRACTICE ASSOCIATES AT ST BARNABAS MED CTR
Internal Medicine
101 OLD SHORT HILLS RD, SUITE 210
WEST ORANGE, NJ 07052
Essex County (973) 322-6256
YVETTE ANITA BRIDGES MD
Obstetrics & Gynecology
101 OLD SHORT HILLS RD, SUITE 505
WEST ORANGE, NJ 07052
Essex County (973) 731-9334
DR. SCOTT ALAN SPIRO M.D.
Plastic Surgery
101 OLD SHORT HILLS RD, SUITE 510
WEST ORANGE, NJ 07052
Essex County (973) 736-5907

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 Robert Schuman's NPI number?

The NPI number for Robert Schuman is 1689774713. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Robert Schuman located?

Robert Schuman practices at 101 Old Short Hills Rd Suite 217, West Orange, NJ 07052. The listed phone number is (973) 731-4600.

What is Robert Schuman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Robert Schuman enrolled in Medicare?

Yes. Robert Schuman 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 Robert Schuman accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Robert Schuman 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.

When was this NPI record last updated?

The NPPES record for Robert Schuman was last updated on September 26, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.