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CHARLES JEFFREY SCHWERTNER M.D.
NPI 1811940786
Orthopaedic Surgery in Brownsville, TX

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
4770 N EXPRESSWAY STE 305A, BROWNSVILLE, TX 78526(956) 362-3980(956) 362-3979 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2025, Jan 27, 2022 (2 updates tracked since 2022).

About Charles Jeffrey Schwertner M.d. NPPES

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

CHARLES JEFFREY SCHWERTNER M.D. (NPI 1811940786) is an individual orthopaedic surgery provider in Brownsville, Texas, licensed in Texas (K9898) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1811940786
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCHARLES JEFFREY SCHWERTNERCredential: M.D.
Location Address4770 N EXPRESSWAY STE 305ABrownsville, TX 78526-4165
Mailing AddressPo Box 4624Mcallen, TX 78502-4624 · (956) 362-3980 · Fax (956) 362-3979
Phone(956) 362-3980
Fax(956) 362-3979
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 19, 2006
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1811940786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · K9898
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4770 N EXPRESSWAY STE 305A, Brownsville, TX 78526
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Charles Jeffrey Schwertner 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 ID5698704153
PECOS Enrollment IDI20101029000582
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.

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.
26 services26 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.
19 services19 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.
19 services11 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78526 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DANIEL ALBERTO ROMANELLI MD
Orthopaedic Surgery (Sports Medicine)
4770 N EXPRESSWAY STE 305A
BROWNSVILLE, TX 78526
Cameron County (956) 362-3980
MARTIN LORENZO HOLGUIN JR. PA-C
Physician Assistant
4770 N EXPRESSWAY STE 305A
BROWNSVILLE, TX 78526
Cameron County (956) 362-3980
JOHN GRAYSON REILLY M.D., M.P.H.
Surgery
4770 N EXPRESSWAY STE 305A
BROWNSVILLE, TX 78526
Cameron County (956) 362-3980

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 Charles Schwertner's NPI number?

The NPI number for Charles Schwertner is 1811940786. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Charles Schwertner located?

Charles Schwertner practices at 4770 N Expressway Ste 305A, Brownsville, TX 78526. The listed phone number is (956) 362-3980.

What is Charles Schwertner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Charles Schwertner enrolled in Medicare?

Yes. Charles Schwertner 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 Charles Schwertner accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Charles Schwertner 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 Charles Schwertner affiliated with any hospitals?

According to CMS data, Charles Schwertner is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Charles Schwertner was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.