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THOMAS RICHARD SCHAEFER NP
NPI 1902327869
Nurse Practitioner - Adult Health in Fenton, MI

Active since June 30, 2017PECOS Enrolled
72.96/100
CMS Quality Rating
700 N LEROY ST, FENTON, MI 48430(810) 853-5875(586) 279-4515 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2018, Jun 30, 2017 (2 updates tracked since 2017).

About Thomas Richard Schaefer Np NPPES

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

THOMAS RICHARD SCHAEFER NP (NPI 1902327869) is an individual adult health provider in Fenton, Michigan, licensed in Michigan (4704301351) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902327869
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameTHOMAS RICHARD SCHAEFERCredential: NP
Location Address700 N LEROY STFenton, MI 48430-2738
Mailing Address700 N Leroy StFenton, MI 48430-2738 · (810) 853-5875 · Fax (586) 279-4515
Phone(810) 853-5875
Fax(586) 279-4515
Sole ProprietorNo
Enumeration DateJune 30, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1902327869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704301351
700 N LEROY ST, Fenton, MI 48430
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Richard Schaefer Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Thomas Schaefer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Medical House Calls, Plc
1.5 mi
Adult Medicine
14165 N FENTON RD STE 201A
Fenton, MI 48430
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group
NPI 1508201013 (810) 853-5875

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 8

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
1,552 services352 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
372 services296 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.
252 services252 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
249 services248 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
212 services131 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
167 services167 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48430 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

72.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality75.08
Improvement Activities40
Cost26.42

Reported Quality Measures

Breast Cancer Screening
0%46 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
0%116 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
99%286 patients5/55-star benchmark: 91%
Dementia: Cognitive Assessment
4%255 patients
Diabetes: Eye Exam
0%42 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
0%42 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%796 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
10%775 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
8%130 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%130 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
98%176 patients5/55-star benchmark: 61%
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.

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 Thomas Schaefer's NPI number?

The NPI number for Thomas Schaefer is 1902327869. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Thomas Schaefer located?

Thomas Schaefer practices at 700 N Leroy St, Fenton, MI 48430. The listed phone number is (810) 853-5875.

What is Thomas Schaefer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Thomas Schaefer enrolled in Medicare?

Yes. Thomas Schaefer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Schaefer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Schaefer reassigns Medicare benefits to Advanced Medical House Calls, Plc (Fenton, MI). The 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 Thomas Schaefer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Schaefer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Thomas Schaefer 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 Thomas Schaefer was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.