Active NPI 1215929971 Individual Practitioner Male Practitioner

Dr. Douglas James Schwartz , MD

Specialist • Phoenix, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Schwartz, MD is a certified Specialist practicing in Phoenix, AZ. With approximately 41 years of clinical experience since graduating from University Of Maryland School Of Medicine in 1985, Dr. Schwartz delivers high-quality medical care to the local community at 1300 N 12TH ST.

Dr. Schwartz is affiliated with Arizona Digestive Health Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 N 12th St
Suite 522

Phoenix, AZ 850062848

Telephone 6022291900

Fax 6022570810

Associated Practice Facility / Clinic

🏢 Gastrointestinal Associates, Pa Facility NPI 1134117773

Medicare Profile & Education

Medical School

University Of Maryland School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +4.8 yrs vs City Avg

City Avg: 36.2 Yrs

State Avg: 35.9 Yrs

Regional Practice Density

196 Specialists

Practicing in Phoenix, AZ (826 Statewide)

Telehealth Adoption Rate

4.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Schwartz (41 Years) 41 Yrs

Phoenix Specialty Average (36.2 Years) 36.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	123	$245.00	$123.63
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	144	144	$1108.00	$239.69
99213 Established patient office or other outpatient visit, typically 15 minutes	130	108	$163.00	$87.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$242.00	$106.77
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	96	93	$620.00	$81.61
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	47	47	$774.00	$173.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$372.00	$158.13
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	34	34	$774.00	$174.29
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	26	24	$687.00	$129.98
45380 Biopsy of large bowel using an endoscope	21	20	$936.00	$123.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	114	$245.00	$122.91
99213 Established patient office or other outpatient visit, typically 15 minutes	102	95	$163.00	$85.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$372.00	$159.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	92	90	$1108.00	$242.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	73	72	$620.00	$71.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$242.00	$108.57
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	46	46	$774.00	$172.01
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	35	35	$774.00	$176.12
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	25	24	$687.00	$135.63
45380 Biopsy of large bowel using an endoscope	19	19	$936.00	$117.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	127	$245.00	$124.01
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	144	15	$152.00	$46.62
99213 Established patient office or other outpatient visit, typically 15 minutes	117	99	$163.00	$81.78
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	89	16	$100.00	$61.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	88	87	$1108.00	$248.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$242.00	$108.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$372.00	$163.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	69	68	$620.00	$65.12
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	46	46	$774.00	$178.06
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	33	33	$774.00	$177.44
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	30	29	$687.00	$135.14
45380 Biopsy of large bowel using an endoscope	27	27	$936.00	$149.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	123	$245.00	$126.95
99213 Established patient office or other outpatient visit, typically 15 minutes	125	99	$163.00	$77.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$242.00	$109.84
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	101	98	$620.00	$76.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$372.00	$165.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	94	91	$1108.00	$251.37
45380 Biopsy of large bowel using an endoscope	42	42	$936.00	$142.06
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	35	35	$774.00	$183.42
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	32	32	$687.00	$133.41
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	29	29	$774.00	$183.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$321.00	$133.19
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$774.00	$183.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	125	$245.00	$106.41
99213 Established patient office or other outpatient visit, typically 15 minutes	133	90	$163.59	$73.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	87	84	$620.00	$85.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$242.00	$106.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$372.00	$160.66
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	60	60	$1108.00	$258.49
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	40	40	$774.00	$187.28
45380 Biopsy of large bowel using an endoscope	30	30	$936.00	$171.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$321.00	$137.16
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	24	21	$686.21	$150.21
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$774.00	$178.55
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$774.00	$187.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	130	$245.00	$106.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$372.00	$161.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	88	83	$620.00	$89.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$242.00	$106.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	63	62	$1108.00	$260.29
99213 Established patient office or other outpatient visit, typically 15 minutes	59	55	$163.00	$73.24
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	40	40	$774.00	$188.17
45380 Biopsy of large bowel using an endoscope	36	36	$936.00	$179.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$321.00	$135.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	20	$176.00	$72.10
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	25	25	$686.00	$149.43
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$774.00	$184.63
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$774.00	$188.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	139	$245.00	$102.90
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	103	98	$620.00	$83.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$373.19	$158.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$242.00	$105.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	79	78	$1108.00	$258.92
99213 Established patient office or other outpatient visit, typically 15 minutes	72	70	$163.00	$70.63
45380 Biopsy of large bowel using an endoscope	53	53	$936.00	$162.05
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	46	46	$774.00	$187.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$321.00	$134.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	21	$176.00	$71.80
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	26	24	$686.00	$122.22
45378 Diagnostic exam of large bowel using a flexible endoscope	25	25	$774.00	$180.70
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$774.00	$187.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	137	$245.00	$104.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	113	111	$620.00	$85.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$242.00	$106.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$372.00	$161.65
99213 Established patient office or other outpatient visit, typically 15 minutes	77	72	$163.00	$72.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	70	68	$1108.00	$259.95
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	52	52	$774.00	$187.50
45380 Biopsy of large bowel using an endoscope	47	46	$936.00	$152.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$321.00	$131.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	23	$98.00	$38.75
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	27	27	$774.00	$188.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	18	$176.00	$71.31
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$774.00	$188.88
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	24	24	$686.00	$144.09

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 16736

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aetna Health Plan

0630251 (AZ)

Commercial Insurance / Payer ID Rail Road Medicare

100002420 (AZ)

Commercial Insurance / Payer ID Cigna Health Plan

1383550-005 (AZ)

Commercial Insurance / Payer ID United Healthcare

29-00113 (AZ)

Commercial Insurance / Payer ID Bluecross Blueshield

AZ0320000 (AZ)

Commercial Insurance / Payer ID Ahcccs

295354 (AZ)

Hospital & Practice Group Affiliations

Arizona Digestive Health Pc

5111 N Scottsdale Rd, Scottsdale, AZ 852507004

Phone: 6022546686

Arizona Digestive Health Pc

5823 W Eugie Ave, Glendale, AZ 853041277

Phone: 6028431265

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Diana Dabell , MD

Emergency Medicine

NPI 1013171842

Doctor of Medicine (M.D.)

Barbara Runquist , NP

Nurse Practitioner

NPI 1043288327

Nurse Practitioner

Dr. Robert Rierson , MD

Obstetrics & Gynecology

NPI 1053373100

Doctor of Medicine (M.D.)

Farrah Black , PA

Physician Assistant - Medical

NPI 1063490316

Physician Assistant

Dr. Viktoria Krajnc , MD

Family Medicine

NPI 1073047098

Doctor of Medicine (M.D.)

Dr. Cheryl Knight , MD

Family Medicine

NPI 1073570982

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active February 17, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 17, 2017

Registered at 3020 E CAMELBACK RD, SUITE 301, PHOENIX, AZ 850162848 (Tel: 6022291900)

📍

Updated Practice Location February 17, 2017

Registered at 1300 N 12TH ST, SUITE 522, PHOENIX, AZ 850062848 (Tel: 6022291900)

👤

Provider Name / Credentials Updated February 17, 2017

Recorded as DOUGLAS SCHWARTZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2017

Specialist (License #16736 in AZ)

✅

NPI Profile Active February 28, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 28, 2014

Registered at 1300 N 12TH ST, SUITE 522, PHOENIX, AZ 850062848 (Tel: 6022291900)

📍

Updated Business Mailing Address February 28, 2014

Registered at 1300 N 12TH ST, SUITE 522, PHOENIX, AZ 850062848 (Tel: 6022291900)

👤

Provider Name / Credentials Updated February 28, 2014

Recorded as DOUGLAS SCHWARTZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2014

Specialist (License #16736 in AZ)

🟢

Initial NPI Registration & Enumeration August 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215929971

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 18, 2005

Last Update: February 17, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3020 E Camelback Rd, Suite 301

Phoenix, AZ 850162848

Phone: 6022291900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.