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DUSTIN SCHUMACHER
NPI 1780127027
Nurse Practitioner in Erie, PA

Active since November 18, 2016PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
100 PEACH ST STE 201, SUITE 201, ERIE, PA 16507(814) 877-5200 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2021, May 31, 2019, Mar 31, 2017 and 1 more (4 updates tracked since 2016).

About Dustin Schumacher NPPES

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

DUSTIN SCHUMACHER (NPI 1780127027) is an individual nurse practitioner in Erie, Pennsylvania, licensed in Pennsylvania (SP016812) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780127027
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDUSTIN SCHUMACHER
Location Address100 PEACH ST STE 201, SUITE 201Erie, PA 16507-1423
Mailing Address100 Peach St Ste 201, Suite 201Erie, PA 16507-1423
Phone(814) 877-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 18, 2016
Last NPPES UpdateMay 24, 20214 updates tracked since enumeration
NPPES CertifiedApril 28, 2020
✔ NPI 1780127027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP016812
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
100 PEACH ST STE 201, Erie, PA 16507
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dustin Schumacher 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 ID6709159072
PECOS Enrollment IDI20170907003376
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.

Medicare Billing Reassignment

Medicare enrollment records show Dustin Schumacher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regional Health Services Inc
0.1 mi
Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 clinicians in this Medicare group
NPI 1174520654 (814) 877-8140

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
61 services51 patients
Punch biopsy, first skin growth 11104
A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.
20 services20 patients
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.
15 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

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 Dustin Schumacher's NPI number?

The NPI number for Dustin Schumacher is 1780127027. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Dustin Schumacher located?

Dustin Schumacher practices at 100 Peach St Ste 201 Suite 201, Erie, PA 16507. The listed phone number is (814) 877-5200.

What is Dustin Schumacher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dustin Schumacher enrolled in Medicare?

Yes. Dustin Schumacher 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.

Which organization bills Medicare for Dustin Schumacher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Schumacher reassigns Medicare benefits to Regional Health Services Inc (Erie, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dustin Schumacher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dustin Schumacher affiliated with any hospitals?

According to CMS data, Dustin Schumacher is affiliated with Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Dustin Schumacher was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.