DR. THEODORE H. SCHWARTZ MD
NPI 1811916455
Neurological Surgery in New York, NY

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1468 MADISON AVE, NEW YORK, NY 10029(646) 873-5215 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2025, Nov 22, 2025 (2 updates tracked since 2025).

About Dr. Theodore H. Schwartz Md NPPES

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

DR. THEODORE H. SCHWARTZ MD (NPI 1811916455) is an individual neurological surgery provider in New York, New York, licensed in New York (218102) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1811916455
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. THEODORE H. SCHWARTZCredential: MD
Location Address1468 MADISON AVENew York, NY 10029-6508
Mailing Address1468 Madison AveNew York, NY 10029-6508 · (646) 873-5215
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1993
Enumeration DateJuly 18, 2006
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
NPI 1811916455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NY · 218102
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

1468 MADISON AVE, New York, NY 10029

Secondary Practice Location 1

Location 15 E 98th St Fl 7New York, NY 10029-6501 · Phone (646) 873-5215

Other Identifiers 1

Medicaid02161017NY

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. Theodore H. Schwartz 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 ID2062441249
PECOS Enrollment IDI20051019000405
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 9

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.
81 services78 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
Computer-assisted procedure inside brain 61781
A computer-assisted brain procedure uses advanced technology for precise navigation within the brain. A computer creates a 3D model of your brain to help the surgeon accurately target the area needing treatment, improving safety and effectiveness.
39 services39 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 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Speech-Language Pathologist
1468 MADISON AVE, BOX 1241
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVE
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVE
NEW YORK, NY 10029
Occupational Therapist (Hand)
1468 MADISON AVE, MC LEVEL ROOM 201
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVE
NEW YORK, NY 10029
Occupational Therapist (Neurorehabilitation)
1468 MADISON AVE, MOUNT SINAI MEDICAL CENTER
NEW YORK, NY 10029
Anesthesiology
1468 MADISON AVE, KCC-8
NEW YORK, NY 10029
Nurse Practitioner (Adult Health)
1468 MADISON AVE, ROOM 721
NEW YORK, NY 10029

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 Theodore Schwartz's NPI number?

The NPI number for Theodore Schwartz is 1811916455. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Theodore Schwartz located?

Theodore Schwartz practices at 1468 Madison Ave, New York, NY 10029. The listed phone number is (646) 873-5215.

What is Theodore Schwartz's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Theodore Schwartz enrolled in Medicare?

Yes. Theodore 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 Theodore Schwartz affiliated with any hospitals?

According to CMS data, Theodore Schwartz is affiliated with Mount Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Schwartz was last updated on November 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.