KEVIN R. SCHMUCKER PH.D.
NPI 1851441703
Psychologist - Clinical in Marietta, OH

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
845 COUNTY HOUSE LN, MARIETTA, OH 45750(740) 373-2028(740) 373-2029 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2023, Jun 12, 2023, Feb 26, 2019 and 1 more (4 updates tracked since 2018).

About Kevin R. Schmucker Ph.d. NPPES

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

KEVIN R. SCHMUCKER PH.D. (NPI 1851441703) is an individual clinical provider in Marietta, Ohio, licensed in Ohio (5273) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Toledo College Of Medicine (1995).

NPPES Registry Identity

NPI1851441703
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameKEVIN R. SCHMUCKERCredential: PH.D.
Location Address845 COUNTY HOUSE LNMarietta, OH 45750-8015
Mailing Address93 Jacobs Cemetery RdLucasville, OH 45648-8716 · (803) 724-7924 · Fax (740) 820-6924
Fax(740) 373-2029
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1995
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 24, 20234 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1851441703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in OH · 5273✔ Licensed in SC · 1351✔ Licensed in TX · 37508
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
845 COUNTY HOUSE LN, Marietta, OH 45750

Other Identifiers 2

Other620005432Rr Medicare
Medicaid2055378OH

Accepted 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

Kevin R. Schmucker Ph.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 ID9638138563
PECOS Enrollment IDI20230428001086
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

2

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

Clinical
845 COUNTY HOUSE LN
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio and West Virginia enrollments
  • 11 clinicians in this Medicare group
Family Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 763 clinicians in this Medicare group

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 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.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
733 services308 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
205 services205 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
81 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
845 COUNTY HOUSE LN
MARIETTA, OH 45750
Psychologist (Clinical)
845 COUNTY HOUSE LN
MARIETTA, OH 45750

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 Kevin Schmucker's NPI number?

The NPI number for Kevin Schmucker is 1851441703. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Kevin Schmucker located?

Kevin Schmucker practices at 845 County House Ln, Marietta, OH 45750. The listed phone number is (740) 373-2028.

What is Kevin Schmucker's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kevin Schmucker enrolled in Medicare?

Yes. Kevin Schmucker 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 Kevin Schmucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Schmucker reassigns Medicare benefits to 2 organizations: Comprehensive Psychological Services, Ltd. (Marietta, OH) and Adena Medical Group LLC (Chillicothe, OH). 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 Kevin Schmucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Schmucker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Kevin Schmucker 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.

When was this NPI record last updated?

The NPPES record for Kevin Schmucker was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.