DR. JESSICA L SCHWARTZ D.O.
NPI 1811157415
Internal Medicine in Temple, PA

Q: What is Jessica Schwartz's NPI number?

The NPI number for Jessica Schwartz is 1811157415. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Q: What is Jessica Schwartz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Schwartz was last updated on December 6, 2018. 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.

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment

81.19/100

CMS Quality Rating

4201 KUTZTOWN RD, TEMPLE, PA 19560(610) 898-6990(610) 921-1235 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 6, 2018, Nov 15, 2018, Mar 28, 2017 (3 updates tracked since 2017).

On this page

About Dr. Jessica L Schwartz D.o. NPPES

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

DR. JESSICA L SCHWARTZ D.O. (NPI 1811157415) is an individual internal medicine provider in Temple, Pennsylvania, licensed in Pennsylvania (OS017658) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2008).

NPPES Registry Identity

NPI1811157415

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. JESSICA L SCHWARTZCredential: D.O.

Location Address4201 KUTZTOWN RDTemple, PA 19560-1836

Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-0796 · Fax (484) 334-7026

Phone(610) 898-6990

Fax(610) 921-1235

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2008

Enumeration DateJune 17, 2008

Last NPPES UpdateDecember 6, 20183 updates tracked since enumeration

✔ NPI 1811157415 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 PA · OS017658

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4201 KUTZTOWN RD, Temple, PA 19560

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Other Identifiers 1

Medicaid103043416PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.Insurance ›

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

Dr. Jessica L Schwartz D.o. 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 ID6002121043

PECOS Enrollment IDI20150819008355

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 Reassignments

Medicare enrollment records show Jessica Schwartz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tower Health Medical Group

3.4 mi

Addiction Medicine

101 WELLNESS WAY STE 210
Reading, PA 19605

Reassigned Medicare billing, Pennsylvania enrollment
1,473 clinicians in this Medicare group

NPI 1093266140 (484) 628-1324

Reading Hospital

4.0 mi

Family Medicine

430 N 2ND ST
Reading, PA 19601

Reassigned Medicare billing, Pennsylvania enrollment
399 clinicians in this Medicare group

NPI 1386702413 (484) 628-0400

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 15

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.

749 services446 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.

301 services301 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

111 services111 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.

52 services41 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

40 services40 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

31 services31 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

30 services30 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

27 services25 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

26 services22 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.

22 services22 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.

17 services14 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

16 services16 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

15 services15 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

12 services11 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390096

Location2500 Bernville RoadReading, PA 19605 · Berks County

Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390123

Location1600 East High StreetPottstown, PA 19464 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19560 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

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.

81.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.56

Promoting Interoperability

Improvement Activities

Cost

65.23

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

21%341 patients1/55-star benchmark: 100%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

24%66 patients1/55-star benchmark: 100%

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

Patients 65+: 100% · 38 patients

100%43 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

21 suppliers60 claims129 services$5.50 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

16 suppliers35 claims41 services$1.00 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$82.08 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers11 claims2,240 services$0.03 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 6

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

DR. MARTIN AARON JACOBSON MD

Internal Medicine

4201 KUTZTOWN RD
TEMPLE, PA 19560

Berks County (610) 921-2094

ELIZABETH A MOYER PA-C

Physician Assistant

4201 KUTZTOWN RD
TEMPLE, PA 19560

Berks County (610) 898-6990

PETER COOPER REYNER MD

Internal Medicine

4201 KUTZTOWN RD, MUHLENBERG MEDICAL ASSOCIATES
TEMPLE, PA 19560

Berks County (610) 921-2094

JULIE LURWICK CRNP

Nurse Practitioner (Family)

4201 KUTZTOWN RD
TEMPLE, PA 19560

Berks County (610) 898-6990

OLIVIA LUBAS PA-C

Physician Assistant

4201 KUTZTOWN RD
TEMPLE, PA 19560

Berks County (610) 898-6990

WILLIAM ANTHONY ZAPATA M.D.

Internal Medicine

4201 KUTZTOWN RD
TEMPLE, PA 19560

Berks County (610) 921-2094

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 Jessica Schwartz's NPI number?

The NPI number for Jessica Schwartz is 1811157415. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Jessica Schwartz located?

Jessica Schwartz practices at 4201 Kutztown Rd, Temple, PA 19560. The listed phone number is (610) 898-6990.

What is Jessica Schwartz's specialty?

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

Is Jessica Schwartz enrolled in Medicare?

Yes. Jessica 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.

Which organizations bill Medicare for Jessica Schwartz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Schwartz reassigns Medicare benefits to 2 organizations: Tower Health Medical Group (Reading, PA) and Reading Hospital (Reading, PA). Each 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 Jessica Schwartz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Schwartz accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Jessica Schwartz 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 Jessica Schwartz affiliated with any hospitals?

According to CMS data, Jessica Schwartz is affiliated with Reading Hospital, Penn State Health St. Joseph and Pottstown Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Schwartz was last updated on December 6, 2018. 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.