MR. THOMAS Z SCHMADEKE PA
NPI 1760455083
Physician Assistant in Red Oak, IA

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
67.42/100
CMS Quality Rating
1400 SENATE AVE, RED OAK, IA 51566(712) 623-5534(712) 623-7279 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Thomas Z Schmadeke Pa NPPES

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

MR. THOMAS Z SCHMADEKE PA (NPI 1760455083) is an individual physician assistant in Red Oak, Iowa, licensed in Iowa (001920) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Health - Mercy Corning, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1760455083
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. THOMAS Z SCHMADEKECredential: PA
Location Address1400 SENATE AVERed Oak, IA 51566-1271
Mailing Address2301 Eastern AveRed Oak, IA 51566-1305 · (712) 623-5534 · Fax (712) 623-7279
Fax(712) 623-7279
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJune 7, 2022
NPPES CertifiedJune 7, 2022
NPI 1760455083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IA · 001920 Licensed in MN · 9796
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1400 SENATE AVE, Red Oak, IA 51566

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

Mr. Thomas Z Schmadeke Pa 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 ID2062454150
PECOS Enrollment IDI20081028000039
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 2

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.

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
22 services12 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
16 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Chi Health - Mercy Corning

Critical Access Hospitals · Corning, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number161304
Location603 Rosary DriveCorning, IA 50841 · Adams County
Emergency services

Clarinda Regional Health Center

Critical Access Hospitals · Clarinda, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161352
Location220 Essie Davison DriveClarinda, IA 51632 · Page County
Emergency services

Montgomery County Memorial Hospital

Critical Access Hospitals · Red Oak, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161363
Location2301 Eastern AvenueRed Oak, IA 51566 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51566 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

67.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.92
Promoting Interoperability100
Improvement Activities40
Cost24.48

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers28 claims32 services$4.96 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$101.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers13 claims25 services$41.23 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers13 claims13 services$23.12 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers14 claims14 services$21.49 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers22 claims132 services$2.93 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 11

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

Physician Assistant
1400 SENATE AVE, STE. 105
RED OAK, IA 51566
Nurse Practitioner
1400 SENATE AVE, STE. 105
RED OAK, IA 51566
Pharmacist
1400 SENATE AVE, SUITE 104
RED OAK, IA 51566
Nurse Practitioner
1400 SENATE AVE, SUITE 108
RED OAK, IA 51566
Obstetrics & Gynecology
1400 SENATE AVE, SUITE 102
RED OAK, IA 51566
Internal Medicine (Geriatric Medicine)
1400 SENATE AVE, STE 108
RED OAK, IA 51566
Physical Therapist
1400 SENATE AVE
RED OAK, IA 51566
Surgery
1400 SENATE AVE, SUITE 103
RED OAK, IA 51566

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 Thomas Schmadeke's NPI number?

The NPI number for Thomas Schmadeke is 1760455083. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Thomas Schmadeke located?

Thomas Schmadeke practices at 1400 Senate Ave, Red Oak, IA 51566. The listed phone number is (712) 623-5534.

What is Thomas Schmadeke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Schmadeke enrolled in Medicare?

Yes. Thomas Schmadeke 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 Thomas Schmadeke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Thomas Schmadeke 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 Thomas Schmadeke affiliated with any hospitals?

According to CMS data, Thomas Schmadeke is affiliated with Chi Health - Mercy Corning, Clarinda Regional Health Center and Montgomery County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Schmadeke was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.