DR. IRA J SCHMELKIN M.D.
NPI 1699746602
Internal Medicine - Gastroenterology in Westfield, MA

Q: What is Ira Schmelkin's NPI number?

The NPI number for Ira Schmelkin is 1699746602. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Q: What is Ira Schmelkin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ira Schmelkin was last updated on May 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 28, 2006PECOS EnrolledAccepts Medicare Assignment

115 W SILVER ST, WESTFIELD, MA 01085(413) 562-4456(413) 568-4211 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Ira J Schmelkin M.d. NPPES

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

DR. IRA J SCHMELKIN M.D. (NPI 1699746602) is an individual gastroenterology provider in Westfield, Massachusetts, licensed in Massachusetts (56902) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1699746602

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. IRA J SCHMELKINCredential: M.D.

Location Address115 W SILVER STWestfield, MA 01085-3628

Mailing Address115 W Silver StWestfield, MA 01085-3628 · (413) 562-4456 · Fax (413) 568-4211

Phone(413) 562-4456

Fax(413) 568-4211

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateJanuary 28, 2006

Last NPPES UpdateMay 24, 2012

✔ NPI 1699746602 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 MA · 56902

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.

115 W SILVER ST, Westfield, MA 01085

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Other Identifiers 2

Medicare PINA3767901MA

Medicare UPINA400047659NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Ira J Schmelkin 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 ID6507825585

PECOS Enrollment IDI20041006000072

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 16

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 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.

312 services257 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.

169 services161 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.

131 services131 patients

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.

129 services118 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.

119 services118 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.

68 services55 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.

53 services53 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

39 services32 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

34 services34 patients

Measurement of liver stiffness 91200

Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.

31 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

18 services18 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.

18 services18 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

14 services14 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

13 services13 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220046

Location725 North StreetPittsfield, MA 01201 · Berkshire County

Emergency services Birthing friendly

Fairview Hospital

Critical Access Hospitals · Great Barrington, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number221302

Location29 Lewis AvenueGreat Barrington, MA 01230 · Berkshire County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01085 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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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. MATTHEW GRAY MD

Emergency Medicine

115 W SILVER ST
WESTFIELD, MA 01085

Hampden County (413) 568-2811

LEANNE ELIZABETH SULLIVAN

Occupational Therapist

115 W SILVER ST
WESTFIELD, MA 01085

Hampden County (413) 571-0151

PETER E PASCAL MD LLC

Orthopaedic Surgery

115 W SILVER ST
WESTFIELD, MA 01085

Hampden County (413) 562-3444

JODI MANISCALCO PA

Physician Assistant

115 W SILVER ST
WESTFIELD, MA 01085

Hampden County (413) 568-2811

PIONEER VALLEY IMAGING, P.C.

Radiology (Body Imaging)

115 W SILVER ST, NOBLE HOSPITAL
WESTFIELD, MA 01085

Hampden County (413) 572-5055

RICHARD J LOFRUMENTO M.D.

Anesthesiology

115 W SILVER ST
WESTFIELD, MA 01085

Hampden County (413) 562-3444

BRIAN PAUL SUTTON M.D.

Emergency Medicine

115 W SILVER ST
WESTFIELD, MA 01085

Hampden County (413) 568-2811

JANET G SWIERZEWSKI NP

Nurse Practitioner (Acute Care)

115 W SILVER ST
WESTFIELD, MA 01085

Hampden County (413) 572-5099

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 Ira Schmelkin's NPI number?

The NPI number for Ira Schmelkin is 1699746602. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Where is Ira Schmelkin located?

Ira Schmelkin practices at 115 W Silver St, Westfield, MA 01085. The listed phone number is (413) 562-4456.

What is Ira Schmelkin's specialty?

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

Is Ira Schmelkin enrolled in Medicare?

Yes. Ira Schmelkin 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 Ira Schmelkin accept?

Health plans from Anthem Blue Cross and Blue Shield list Ira Schmelkin 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 Ira Schmelkin affiliated with any hospitals?

According to CMS data, Ira Schmelkin is affiliated with Berkshire Medical Center and Fairview Hospital.

When was this NPI record last updated?

The NPPES record for Ira Schmelkin was last updated on May 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.