JOSEPH R SCHWARTZ M.D.
NPI 1801825492
Emergency Medicine in West Bend, WI

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
1700 W PARADISE DR, WEST BEND, WI 53095(262) 334-3451(262) 334-5321 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2020, Jul 11, 2020 (2 updates tracked since 2020).

About Joseph R Schwartz M.d. NPPES

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

JOSEPH R SCHWARTZ M.D. (NPI 1801825492) is an individual emergency medicine provider in West Bend, Wisconsin, licensed in Wisconsin (33200-020) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of Medical College Of Wisconsin (1989).

NPPES Registry Identity

NPI1801825492
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOSEPH R SCHWARTZCredential: M.D.
Location Address1700 W PARADISE DRWest Bend, WI 53095-9795
Mailing AddressN114w5837 James CirCedarburg, WI 53012-1210 · (414) 531-6660
Fax(262) 334-5321
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1989
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 15, 20202 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
NPI 1801825492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WI · 33200-020
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1700 W PARADISE DR, West Bend, WI 53095

Other Identifiers 2

Other010056902WI · Medicare Railroad
Medicaid31812400WI

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

Joseph 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 ID9830384080
PECOS Enrollment IDI20101112000825
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 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.
89 services87 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.
53 services51 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
35 services34 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%1,073 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Occupational Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Nurse Practitioner (Family)
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Nurse Practitioner (Family)
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095

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 Joseph Schwartz's NPI number?

The NPI number for Joseph Schwartz is 1801825492. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Joseph Schwartz located?

Joseph Schwartz practices at 1700 W Paradise Dr, West Bend, WI 53095. The listed phone number is (262) 334-3451.

What is Joseph Schwartz's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Joseph Schwartz enrolled in Medicare?

Yes. Joseph 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 Joseph Schwartz affiliated with any hospitals?

According to CMS data, Joseph Schwartz is affiliated with St Josephs Community Hospital West Bend.

When was this NPI record last updated?

The NPPES record for Joseph Schwartz was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.