DANIEL J SCHLEGEL MD
NPI 1861439994
Family Medicine in Middletown, PA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
3100 SCHOOLHOUSE RD, MIDDLETOWN, PA 17057(800) 243-1455 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Daniel J Schlegel Md NPPES

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

DANIEL J SCHLEGEL MD (NPI 1861439994) is an individual family medicine provider in Middletown, Pennsylvania, licensed in Pennsylvania (MD427999) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861439994
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL J SCHLEGELCredential: MD
Location Address3100 SCHOOLHOUSE RDMiddletown, PA 17057-3548
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2003
Enumeration DateMay 31, 2006
Last NPPES UpdateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1861439994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD427999
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3100 SCHOOLHOUSE RD, Middletown, PA 17057

Secondary Practice Locations 2

Location 1500 University DrHershey, PA 17033-2360 · Phone (800) 243-1455
Location 2845 Fishburn RdHershey, PA 17033-2015 · Phone (800) 243-1455

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

Daniel J Schlegel 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 ID7517961204
PECOS Enrollment IDI20060912000292
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 Daniel Schlegel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dietitian, Registered
3100 SCHOOLHOUSE RD
Middletown, PA 17057
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
Hematology & Oncology
4518 UNION DEPOSIT RD
Harrisburg, PA 17111
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 994 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 2

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.
115 services66 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.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17057 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

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.

Internal Medicine
3100 SCHOOLHOUSE RD
MIDDLETOWN, PA 17057
Dietitian, Registered
3100 SCHOOLHOUSE RD
MIDDLETOWN, PA 17057
Internal Medicine (Rheumatology)
3100 SCHOOLHOUSE RD
MIDDLETOWN, PA 17057
Physician Assistant
3100 SCHOOLHOUSE RD
MIDDLETOWN, PA 17057
Family Medicine
3100 SCHOOLHOUSE RD
MIDDLETOWN, PA 17057
Nurse Practitioner (Family)
3100 SCHOOLHOUSE RD
MIDDLETOWN, PA 17057
Family Medicine
3100 SCHOOLHOUSE RD
MIDDLETOWN, PA 17057
Family Medicine
3100 SCHOOLHOUSE RD
MIDDLETOWN, PA 17057

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 Daniel Schlegel's NPI number?

The NPI number for Daniel Schlegel is 1861439994. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Daniel Schlegel located?

Daniel Schlegel practices at 3100 Schoolhouse Rd, Middletown, PA 17057. The listed phone number is (800) 243-1455.

What is Daniel Schlegel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Schlegel enrolled in Medicare?

Yes. Daniel Schlegel 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 Daniel Schlegel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Schlegel reassigns Medicare benefits to 2 organizations: The Milton S. Hershey Medical Center Physicians Group (Middletown, PA) and Penn State Health Medical Group, LLC (Harrisburg, PA). 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 Daniel Schlegel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Daniel Schlegel affiliated with any hospitals?

According to CMS data, Daniel Schlegel is affiliated with Upmc Pinnacle Hospitals and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Schlegel was last updated on October 7, 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.