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CARLA R. SCHWARTZ M.D.
NPI 1790070613
Internal Medicine in Rochester, NY

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
200 RED CREEK DR, ROCHESTER, NY 14623(585) 334-0130(585) 334-0213 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2017, Sep 15, 2016 (2 updates tracked since 2016).

About Carla R. Schwartz M.d. NPPES

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

CARLA R. SCHWARTZ M.D. (NPI 1790070613) is an individual internal medicine provider in Rochester, New York, licensed in New York (282902) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1790070613
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCARLA R. SCHWARTZCredential: M.D.
Location Address200 RED CREEK DRRochester, NY 14623-5264
Mailing Address200 Red Creek Dr, Ste 100Rochester, NY 14623-5264 · (585) 334-0130 · Fax (585) 334-0213
Phone(585) 334-0130
Fax(585) 334-0213
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 20, 2011
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
✔ NPI 1790070613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 282902
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 247601 (MA)
200 RED CREEK DR, Rochester, NY 14623
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Other Identifiers 1

Medicaid04502172NY

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

Carla R. Schwartz 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 ID42505851
PECOS Enrollment IDI20160818000384
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 3

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.
40 services27 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.
20 services20 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.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

Referred Medical Equipment & Supplies CMS DME claims 3

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
6 suppliers14 claims31 services$4.58 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier12 claims12 services$7.41 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$157.41 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 7

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

EMILY BETH SILBERSTEIN DO
Family Medicine
200 RED CREEK DR
ROCHESTER, NY 14623
Monroe County (585) 334-0130
DR. TIMOTHY ANDREWS ASHLEY M.D.
Internal Medicine
200 RED CREEK DR, SUITE 100
ROCHESTER, NY 14623
Monroe County (585) 334-0130
DR. CHARLES D MASKIELL M.D.
Family Medicine
200 RED CREEK DR, SUITE 100
ROCHESTER, NY 14623
Monroe County (585) 334-0130
MICHELLE SUSAN CICILLINE M.D.
Family Medicine
200 RED CREEK DR, SUITE 100
ROCHESTER, NY 14623
Monroe County (585) 334-0130
DR. ERIN M DENNEY-KOELSCH M.D.
Internal Medicine
200 RED CREEK DR, SUITE 100
ROCHESTER, NY 14623
Monroe County (585) 334-0130
DR. MICHAEL OBRECHT D.O.
Family Medicine
200 RED CREEK DR, SUITE 100
ROCHESTER, NY 14623
Monroe County (585) 334-0130
DR. MARIANNE S TAYLOR MD
Internal Medicine
200 RED CREEK DR, SUITE 100
ROCHESTER, NY 14623
Monroe County (585) 334-0130

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 Carla Schwartz's NPI number?

The NPI number for Carla Schwartz is 1790070613. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Carla Schwartz located?

Carla Schwartz practices at 200 Red Creek Dr, Rochester, NY 14623. The listed phone number is (585) 334-0130.

What is Carla Schwartz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carla Schwartz enrolled in Medicare?

Yes. Carla Schwartz 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.

Is Carla Schwartz affiliated with any hospitals?

According to CMS data, Carla Schwartz is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carla Schwartz was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.