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KATHERINE ANNA SCHMIDT M.D.
NPI 1821432139
Internal Medicine in Cincinnati, OH

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
3130 HIGHLAND AVE, CINCINNATI, OH 45219(513) 475-8000(513) 584-0462 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2020, Jun 27, 2016 (2 updates tracked since 2016).

About Katherine Anna Schmidt M.d. NPPES

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

KATHERINE ANNA SCHMIDT M.D. (NPI 1821432139) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35127470) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of University Of Cincinnati College Of Medicine (2013).

NPPES Registry Identity

NPI1821432139
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKATHERINE ANNA SCHMIDTCredential: M.D.
Location Address3130 HIGHLAND AVECincinnati, OH 45219-2399
Mailing Address2830 Victory PkwyCincinnati, OH 45206-1785 · (513) 245-3072 · Fax (513) 585-5511
Phone(513) 475-8000
Fax(513) 584-0462
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2013
Enumeration DateApril 18, 2013
Last NPPES UpdateApril 3, 20202 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1821432139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35127470
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.
3130 HIGHLAND AVE, Cincinnati, OH 45219
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Accepted Insurance

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

Katherine Anna Schmidt 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 ID8628210192
PECOS Enrollment IDI20161102000727
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.
84 services72 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.
57 services35 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
91%69 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
94%90 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%110 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
33%46 patients2/55-star benchmark: 98%
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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Powered pressure-reducing air mattress E0277
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$147.36 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.46 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 20

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

DR. LEI QU PHARMD
Pharmacist
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (135) 584-8828
MICHAEL FRITZ
Dermatology
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-7630
MARGO WATERS MD
Student in an Organized Health Care Education/Training Program
3130 HIGHLAND AVE, GROUND FLOOR
CINCINNATI, OH 45219
Hamilton County (513) 584-4644
THOMAS LAWLER
Internal Medicine
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-4505
JULIANE VIERECKE MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-7217
MAX CHRISTOPHER REIF M.D.
Internal Medicine (Nephrology)
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-4061
DR. WILLIAM MICHAEL GAYNIER D.O
Ophthalmology
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-5461
LATOYA LABRESSKA BRATHWAITE MD
Internal Medicine (Nephrology)
3130 HIGHLAND AVE, 2ND FLOOR NEPHROLOGY HOXWORTH CLINIC
CINCINNATI, OH 45219
Hamilton County (513) 584-4061

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 Katherine Schmidt's NPI number?

The NPI number for Katherine Schmidt is 1821432139. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Katherine Schmidt located?

Katherine Schmidt practices at 3130 Highland Ave, Cincinnati, OH 45219. The listed phone number is (513) 475-8000.

What is Katherine Schmidt's specialty?

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

Is Katherine Schmidt enrolled in Medicare?

Yes. Katherine 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 Katherine Schmidt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Katherine 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 Katherine Schmidt affiliated with any hospitals?

According to CMS data, Katherine Schmidt is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Schmidt was last updated on April 3, 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.