MARC S SCHUMANN DPM
NPI 1972525418
Podiatrist in Valley Stream, NY

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
91.75/100
CMS Quality Rating
260 W SUNRISE HWY, SUITE 111, VALLEY STREAM, NY 11581(516) 791-7668(516) 791-0174 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marc S Schumann Dpm NPPES

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

MARC S SCHUMANN DPM (NPI 1972525418) is an individual podiatrist in Valley Stream, New York, licensed in New York (N004692) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1989).

NPPES Registry Identity

NPI1972525418
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMARC S SCHUMANNCredential: DPM
Location Address260 W SUNRISE HWY, SUITE 111Valley Stream, NY 11581-1011
Mailing Address260 W Sunrise Hwy, Suite 111Valley Stream, NY 11581-1011 · (516) 791-7668 · Fax (516) 791-0174
Fax(516) 791-0174
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1989
Enumeration DateJuly 24, 2006
Last NPPES UpdateFebruary 7, 2011
✔ NPI 1972525418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NY · N004692
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
260 W SUNRISE HWY, Valley Stream, NY 11581

Other Identifiers 3

Medicare ID-Type UnspecifiedP51261NY
Medicare UPINU18043
Medicaid01178954NY

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

Marc S Schumann Dpm 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 ID4385642917
PECOS Enrollment IDI20061115000184
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

6

Medicare enrollment records show Marc Schumann reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
270 LAWRENCE AVE.
Inwood, NY 11096
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Nassau Health Care Corporation
  • 553 clinicians in this Medicare group
Geriatric Medicine
1256 E 31ST ST
Brooklyn, NY 11210
  • Reassigned Medicare billing, New York enrollment
  • 94 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
335 E 24TH ST STE 1B
New York, NY 10010
  • Reassigned Medicare billing, New York enrollment
  • 58 clinicians in this Medicare group
Psychiatry
185 OLD BROADWAY
Hastings On Hudson, NY 10706
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
Internal Medicine
3 BARKER AVE
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 167 clinicians in this Medicare group
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, New York enrollment
  • 325 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 15

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,698 services867 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,332 services598 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
658 services503 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.
568 services172 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
558 services214 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
427 services418 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11581 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

91.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.5
Improvement Activities40

Reported Quality Measures

Advance Care Plan
46%1,352 patients2/55-star benchmark: 100%
Bunion Outcome - Adult and Adolescent
2%110 patients1/55-star benchmark: 92%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
63%326 patients3/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
58%304 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
65%8,038 patients1/55-star benchmark: 100%
Falls: Plan of Care
0%54 patients
Heel Pain Treatment Outcomes for Adults
28%134 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%1,041 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
63%1,543 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 982 patients
Patients screened: 100% · 49 patients
100%982 patients5/55-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 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier22 claims44 services$56.43 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier21 claims126 services$24.54 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 20

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

Dentist (General Practice)
260 W SUNRISE HWY
VALLEY STREAM, NY 11581
Dermatology
260 W SUNRISE HWY, SUITE 305
VALLEY STREAM, NY 11581
Internal Medicine (Hematology & Oncology)
260 W SUNRISE HWY, SUITE 200
VALLEY STREAM, NY 11581
Internal Medicine
260 W SUNRISE HWY, SUITE 200 2ND FLOOR
VALLEY STREAM, NY 11581
Obstetrics & Gynecology
260 W SUNRISE HWY, SUITE 200
VALLEY STREAM, NY 11581
Nurse Practitioner (Acute Care)
260 W SUNRISE HWY
VALLEY STREAM, NY 11581
Internal Medicine (Endocrinology, Diabetes & Metabolism)
260 W SUNRISE HWY, SUITE 200
VALLEY STREAM, NY 11581
Internal Medicine
260 W SUNRISE HWY, STE. 200
VALLEY STREAM, NY 11581

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 Marc Schumann's NPI number?

The NPI number for Marc Schumann is 1972525418. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Marc Schumann located?

Marc Schumann practices at 260 W Sunrise Hwy Suite 111, Valley Stream, NY 11581. The listed phone number is (516) 791-7668.

What is Marc Schumann's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Marc Schumann enrolled in Medicare?

Yes. Marc Schumann 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 Marc Schumann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Schumann reassigns Medicare benefits to 6 organizations: Inwood Community Health Center (Inwood, NY), Patient First Medical Practice PC (Brooklyn, NY), Metro Community Health Centers, Inc. (New York, NY), Care Physicians Of Ny, PLLC (Hastings On Hudson, NY), Hospitalist Healthcare Services PLLC (White Plains, NY) and 1 more organization, listed in the Medicare section above. 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 Marc Schumann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marc Schumann was last updated on February 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.