DEREK J SCHMIDT MD
NPI 1801856588
Otolaryngology in Saint Paul, MN

Active since March 25, 2006PECOS EnrolledAccepts Medicare Assignment
401 PHALEN BLVD, SAINT PAUL, MN 55130(651) 254-8550(651) 254-8558 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derek J Schmidt Md NPPES

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

DEREK J SCHMIDT MD (NPI 1801856588) is an individual otolaryngology provider in Saint Paul, Minnesota, licensed in Minnesota (47090) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and is a graduate of University Of Minnesota Medical School (1999).

NPPES Registry Identity

NPI1801856588
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDEREK J SCHMIDTCredential: MD
Location Address401 PHALEN BLVDSaint Paul, MN 55130-5302
Mailing Address8170 33rd Ave, Mail Stop 21110qBloomington, MN 55425-4516 · (952) 883-5340 · Fax (952) 853-8727
Fax(651) 254-8558
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1999
Enumeration DateMarch 25, 2006
Last NPPES UpdateJuly 9, 2019
NPI 1801856588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MN · 47090
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
401 PHALEN BLVD, Saint Paul, MN 55130

Other Identifiers 1

Medicaid996420700MN

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

Derek J 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 ID7911967328
PECOS Enrollment IDI20041011000578, I20050225000602
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 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.
98 services63 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 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.
22 services20 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
18 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521335
Location405 Stageline RoadHudson, WI 54016 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

Dermatology
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Pulmonary Disease)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Physician Assistant
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Critical Care Medicine)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Rheumatology)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Optometrist
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Infectious Disease)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Dermatology
401 PHALEN BLVD
SAINT PAUL, MN 55130

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 Derek Schmidt's NPI number?

The NPI number for Derek Schmidt is 1801856588. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Derek Schmidt located?

Derek Schmidt practices at 401 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (651) 254-8550.

What is Derek Schmidt's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Derek Schmidt enrolled in Medicare?

Yes. Derek 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 Derek Schmidt accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Medica list Derek 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 Derek Schmidt affiliated with any hospitals?

According to CMS data, Derek Schmidt is affiliated with Regions Hospital and Hudson Hospital.

When was this NPI record last updated?

The NPPES record for Derek Schmidt was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.