CARMEN MARIE SCHWARTZ M.D.
NPI 1982870820
Dermatology in Sioux Falls, SD
About Carmen Marie Schwartz M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARMEN MARIE SCHWARTZ M.D. (NPI 1982870820) is an individual dermatology provider in Sioux Falls, South Dakota, licensed in South Dakota (8541) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2008).
NPPES Registry Identity
Specialties & Licenses
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Accepted 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
Carmen Marie Schwartz M.d. 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 100% | 2873 |
| Melanoma: Continuity of Care - Recall System | 98% | 196 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | 370 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | 370 |
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 100% | 369 |
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 100% | 369 |
| Provide Patients Electronic Access to Their Health Information | 100% | 1541 |
| Psoriasis: Clinical Response to Systemic Medications | 86% | 50 |
| Tobacco Use and Help with Quitting Among Adolescents | 100% | 198 |
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982870820, enumerated as an "individual" on April 30, 2008.
The provider is located at 4950 S MINNESOTA AVE SIOUX FALLS, SD 57108 and the phone number is (605) 330-9619.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Avera Health Plans, Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.
