DR. ROBERT JOSEPH SCHMIDT MD
NPI 1780688481
Family Medicine in St Marys, PA

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
177 WASHINGTON ST, ST MARYS, PA 15857(814) 781-7531(814) 781-7494 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert Joseph Schmidt Md NPPES

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

DR. ROBERT JOSEPH SCHMIDT MD (NPI 1780688481) is an individual family medicine provider in St Marys, Pennsylvania, licensed in Pennsylvania (MD022292E) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of University Of Texas Medical School At Houston (1978).

NPPES Registry Identity

NPI1780688481
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT JOSEPH SCHMIDTCredential: MD
Location Address177 WASHINGTON STSt Marys, PA 15857-1349
Mailing AddressPo Box 447Du Bois, PA 15801-0447 · (814) 781-7531 · Fax (814) 781-7494
Fax(814) 781-7494
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1978
Enumeration DateJune 9, 2005
Last NPPES UpdateJune 22, 2011
NPI 1780688481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD022292E
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
177 WASHINGTON ST, St Marys, PA 15857

Other Identifiers 3

Medicare UPINC30471PA
Medicare PIN112120PA
Medicaid101736519PA

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

Dr. Robert Joseph Schmidt 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 ID7113821463
PECOS Enrollment IDI20080131000415
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 6

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.
587 services258 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.
294 services177 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
211 services211 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.
36 services27 patients
Physician or allowed practitioner 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 and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
22 services20 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15857 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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

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
4 suppliers68 claims122 services$5.51 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers11 claims220 services$3.35 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
3 suppliers12 claims50 services$4.63 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers31 claims31 services$46.22 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier14 claims70 services$23.78 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
1 supplier11 claims56 services$17.24 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 9

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

Clinical Medical Laboratory
177 WASHINGTON ST
SAINT MARYS, PA 15857
Family Medicine
177 WASHINGTON ST
SAINT MARYS, PA 15857
Clinic/Center (Physical Therapy)
177 WASHINGTON ST
SAINT MARYS, PA 15857
Family Medicine
177 WASHINGTON ST
SAINT MARYS, PA 15857
Physician Assistant (Medical)
177 WASHINGTON ST
SAINT MARYS, PA 15857
Family Medicine (Sports Medicine)
177 WASHINGTON ST
ST MARYS, PA 15857
Family Medicine
177 WASHINGTON ST
SAINT MARYS, PA 15857
Obstetrics & Gynecology
177 WASHINGTON ST
SAINT MARYS, PA 15857

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 Schmidt's NPI number?

The NPI number for Robert Schmidt is 1780688481. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Robert Schmidt located?

Robert Schmidt practices at 177 Washington St, St Marys, PA 15857. The listed phone number is (814) 781-7531.

What is Robert Schmidt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Schmidt enrolled in Medicare?

Yes. Robert Schmidt 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 Schmidt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Robert Schmidt 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 Robert Schmidt affiliated with any hospitals?

According to CMS data, Robert Schmidt is affiliated with Penn Highlands Dubois and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Robert Schmidt was last updated on June 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.