RICHARD J. SCHUMANN JR. MD
NPI 1831157916
Psychiatry & Neurology - Neurology in San Diego, CA

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
16776 BERNARDO CENTER DR, SUITE 209, SAN DIEGO, CA 92128(858) 675-1112(858) 675-1141 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard J. Schumann Jr. Md NPPES

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

RICHARD J. SCHUMANN JR. MD (NPI 1831157916) is an individual neurology provider in San Diego, California, licensed in California (A62324) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Hahnemann University College Of Medicine (1995).

NPPES Registry Identity

NPI1831157916
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameRICHARD J. SCHUMANN JR.Credential: MD
Location Address16776 BERNARDO CENTER DR, SUITE 209San Diego, CA 92128-2669
Mailing AddressPo Box 1770La Mesa, CA 91944-1770 · (619) 464-1165 · Fax (619) 567-1011
Fax(858) 675-1141
Sole ProprietorYes
Medical School CMSHahnemann University College Of MedicineGraduated 1995
Enumeration DateMay 1, 2006
Last NPPES UpdateJanuary 31, 2013
NPI 1831157916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in CA · A62324
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License A62324 (CA)
16776 BERNARDO CENTER DR, San Diego, CA 92128

Other Identifiers 9

OtherDA4922MD · Medicare Railroad
Medicare PIN413MN330MD
Medicare UPING91475MD
Medicare PING01133DE
Medicare PIN413MN330CA
Medicare UPING91475CA
Medicaid409372100MD
OtherA62324CA · California Med License
OtherDB8776DE · Medicare Railroad

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

Richard J. Schumann Jr. 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 ID8527072529
PECOS Enrollment IDI20220510000012, I20230505001641, I20250822003836
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 6

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.
621 services424 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.
212 services212 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
133 services132 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
94 services88 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
92 services82 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.
38 services35 patients

Hospital Affiliations CMS Care Compare 4

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Lovelace Westside Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipProprietary
CMS Certification Number320074
Location10501 Golf Course Road NWAlbuquerque, NM 87114 · Bernalillo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92128 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
25 suppliers230 claims230 services$31.28 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
24 suppliers156 claims156 services$76.36 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
22 suppliers139 claims360 services$27.96 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
21 suppliers100 claims516 services$15.01 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
15 suppliers66 claims329 services$11.92 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
24 suppliers166 claims167 services$45.47 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 8

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

Marriage & Family Therapist
16776 BERNARDO CENTER DR, SUITE 203
SAN DIEGO, CA 92128
Counselor (Mental Health)
16776 BERNARDO CENTER DR, 201
SAN DIEGO, CA 92128
Social Worker (Clinical)
16776 BERNARDO CENTER DR, SUITE 203
SAN DIEGO, CA 92128
Dentist (General Practice)
16776 BERNARDO CENTER DR, SUITE 105
SAN DIEGO, CA 92128
Acupuncturist
16776 BERNARDO CENTER DR, SUITE 101
SAN DIEGO, CA 92128
Chiropractor
16776 BERNARDO CENTER DR, STE 211
SAN DIEGO, CA 92128
Specialist
16776 BERNARDO CENTER DR
SAN DIEGO, CA 92128
Psychiatry & Neurology (Neurology)
16776 BERNARDO CENTER DR, SUITE 209
SAN DIEGO, CA 92128

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 Richard Schumann's NPI number?

The NPI number for Richard Schumann is 1831157916. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Richard Schumann located?

Richard Schumann practices at 16776 Bernardo Center Dr Suite 209, San Diego, CA 92128. The listed phone number is (858) 675-1112.

What is Richard Schumann's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Richard Schumann enrolled in Medicare?

Yes. Richard Schumann 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 Richard Schumann accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Richard Schumann 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 Richard Schumann affiliated with any hospitals?

According to CMS data, Richard Schumann is affiliated with Portneuf Medical Center, Lovelace Women's Hospital, Presbyterian Hospital and Lovelace Westside Hospital.

When was this NPI record last updated?

The NPPES record for Richard Schumann was last updated on January 31, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.