DR. BRENT WAYNE SCHWARM M.D.
NPI 1932104296
Internal Medicine in Vandalia, IL

Active since June 14, 2005PECOS Enrolled
650 W TAYLOR ST, VANDALIA, IL 62471(618) 283-1231 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brent Wayne Schwarm M.d. NPPES

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

DR. BRENT WAYNE SCHWARM M.D. (NPI 1932104296) is an individual internal medicine provider in Vandalia, Illinois, licensed in Illinois (036086476) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932104296
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRENT WAYNE SCHWARMCredential: M.D.
Location Address650 W TAYLOR STVandalia, IL 62471-1227
Mailing Address650 W Taylor StVandalia, IL 62471-1227 · (618) 283-1231
Sole ProprietorNo
Enumeration DateJune 14, 2005
Last NPPES UpdateApril 29, 2014
NPI 1932104296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036086476
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.
650 W TAYLOR ST, Vandalia, IL 62471

Other Identifiers 2

Medicaid036086476IL
Medicare UPINF60218IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Brent Wayne Schwarm M.d. 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.

Areas of Expertise CMS Part B claims 7

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.
296 services248 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.
106 services106 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.
61 services60 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services25 patients
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage 90686
The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.
15 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62471 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%85 patients4/55-star benchmark: 100%
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 6

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims58 services$2.58 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier21 claims21 services$60.93 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims1,566 services$0.03 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
4 suppliers15 claims15 services$195.12 avg. paid by Medicare
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825
DME-Wheelchairs · category DD009N
2 suppliers13 claims13 services$245.85 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$23.64 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 17

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

Podiatrist
650 W TAYLOR ST
VANDALIA, IL 62471
Skilled Nursing Facility
650 W TAYLOR ST
VANDALIA, IL 62471
Surgery
650 W TAYLOR ST
VANDALIA, IL 62471
General Acute Care Hospital
650 W TAYLOR ST
VANDALIA, IL 62471
Emergency Medicine
650 W TAYLOR ST
VANDALIA, IL 62471
Orthopaedic Surgery
650 W TAYLOR ST
VANDALIA, IL 62471
General Acute Care Hospital (Critical Access)
650 W TAYLOR ST
VANDALIA, IL 62471
General Acute Care Hospital
650 W TAYLOR ST
VANDALIA, IL 62471

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 Brent Schwarm's NPI number?

The NPI number for Brent Schwarm is 1932104296. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Brent Schwarm located?

Brent Schwarm practices at 650 W Taylor St, Vandalia, IL 62471. The listed phone number is (618) 283-1231.

What is Brent Schwarm's specialty?

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

Is Brent Schwarm enrolled in Medicare?

Yes. Brent Schwarm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brent Schwarm was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.