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DAVID PAUL SCHMITTOU III
NPI 1972064301
Internal Medicine in Mount Clemens, MI

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment
133 S MAIN ST, MOUNT CLEMENS, MI 48043(586) 468-1600(586) 465-0329 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2022, Mar 30, 2021 (2 updates tracked since 2021).

About David Paul Schmittou Iii NPPES

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

DAVID PAUL SCHMITTOU III (NPI 1972064301) is an individual internal medicine provider in Mount Clemens, Michigan, licensed in Michigan (4301506174) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and maintains a secondary practice location in Clinton Township.

NPPES Registry Identity

NPI1972064301
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID PAUL SCHMITTOU III
Location Address133 S MAIN STMount Clemens, MI 48043-2308
Mailing Address2689 Solution CenterChicago, IL 60677-3504 · (586) 329-1880 · Fax (586) 231-0055
Phone(586) 468-1600
Fax(586) 465-0329
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2019
Enumeration DateMarch 28, 2019
Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1972064301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301506174
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
133 S MAIN ST, Mount Clemens, MI 48043
Open in Google Maps ↗

Secondary Practice Location 1

Location 115855 19 Mile RdClinton Township, MI 48038-3504 · Phone (586) 263-2300

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Paul Schmittou Iii 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 ID9234464405
PECOS Enrollment IDI20220608000914
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 11

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.
192 services104 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.
77 services77 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
62 services62 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.
53 services44 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
24 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

MR. ROBBIE WILLIAM ROESCH PA-C
Physician Assistant (Medical)
133 S MAIN ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-1600
THOMAS A GIGNAC MD
Specialist
133 S MAIN ST, SUITE D
MOUNT CLEMENS, MI 48043
Macomb County (586) 465-1326
NICOLE MARIE SHIELDS PA-C
Physician Assistant (Medical)
133 S MAIN ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-1600
ROBERT A CHANG MD
Internal Medicine
133 S MAIN ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-1600
PETER A KOVALSZKI MD
Specialist
133 S MAIN ST, SUITE D
MOUNT CLEMENS, MI 48043
Macomb County (586) 465-1326
JOSEPH SCHERBA PA
Physician Assistant
133 S MAIN ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-1600
FIRAS YAZIGI M.D.
Internal Medicine (Cardiovascular Disease)
133 S MAIN ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-1600
INTERNAL MEDICINE ASSOCIATES OF MT. CLEMENS, PC
Internal Medicine
133 S MAIN ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-1600

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 David Schmittou's NPI number?

The NPI number for David Schmittou is 1972064301. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is David Schmittou located?

David Schmittou practices at 133 S Main St, Mount Clemens, MI 48043. The listed phone number is (586) 468-1600.

What is David Schmittou's specialty?

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

Is David Schmittou enrolled in Medicare?

Yes. David Schmittou 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.

What insurance does David Schmittou 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 3 other insurers list David Schmittou 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.

Is David Schmittou affiliated with any hospitals?

According to CMS data, David Schmittou is affiliated with Henry Ford Macomb Hospital and Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for David Schmittou was last updated on August 22, 2022. 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.