KENNETH SCHWARTZ MD
NPI 1942226857
Family Medicine in Saratoga Springs, NY

Q: What is Kenneth Schwartz's NPI number?

The NPI number for Kenneth Schwartz is 1942226857. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Kenneth Schwartz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Schwartz was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 14, 2006PECOS Enrolled

377 CHURCH ST, SARATOGA SPRINGS, NY 12866(518) 584-4456(518) 584-4476 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2021, Aug 15, 2016 (2 updates tracked since 2016).

On this page

About Kenneth Schwartz Md NPPES

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

KENNETH SCHWARTZ MD (NPI 1942226857) is an individual family medicine provider in Saratoga Springs, New York, licensed in New York (170260) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saratoga Springs.

NPPES Registry Identity

NPI1942226857

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKENNETH SCHWARTZCredential: MD

Location Address377 CHURCH STSaratoga Springs, NY 12866-8641

Mailing AddressPo Box 14890, Sphp Payer CredentialingAlbany, NY 12212 · (518) 591-1121 · Fax (518) 649-4094

Phone(518) 584-4456

Fax(518) 584-4476

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateMay 12, 20212 updates tracked since enumeration

NPPES CertifiedMay 12, 2021

✔ NPI 1942226857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 170260

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.

377 CHURCH ST, Saratoga Springs, NY 12866

Open in Google Maps ↗

Secondary Practice Location 1

Location 111 Hampstead Pl N Ste 103Saratoga Springs, NY 12866-5669 · Phone (518) 583-7400 · Fax (518) 583-4184

Other Identifiers 1

Other01240615NY · Medicaid

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Schwartz Md 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 Reassignments

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

St. Peter's Health Partners Medical Associates, P.C.

0.5 mi

Cardiovascular Disease

6 CARE LN, SARATOGA CARDIOLOGY ASSOCIATES
Saratoga Springs, NY 12866

Reassigned Medicare billing, New York enrollment
742 clinicians in this Medicare group

NPI 1821419656 (518) 587-7625

Ctp Newton Medical PC

23 mi

Urgent Care

588 NEW LOUDON RD
Latham, NY 12110

Reassigned Medicare billing, New York enrollment
9 clinicians in this Medicare group

NPI 1801851829 (518) 785-2662

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12866 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

61%244 patients3/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

70%606 patients4/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

44%109 patients2/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%4,435 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

72%772 patients4/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

97%324 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

62%1,235 patients3/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

29%772 patients2/55-star benchmark: 88%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

53%1,235 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

4%1,235 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

20%1,235 patients

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

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

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

2 suppliers11 claims11 services$215.20 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 11

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

CAPITAL AREA PLASTIC SURGERY, PLLC

Specialist