Active NPI 1275614596 Individual Practitioner Male Practitioner

Dr. Brian Frederick Schmidt , MD

Surgery • Santa Rosa, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Schmidt, MD is a certified Surgery practicing in Santa Rosa, CA. With approximately 44 years of clinical experience since graduating from University Of Southern California Keck School Of Medicine in 1982, Dr. Schmidt delivers high-quality medical care to the local community at 1701 4TH ST.

Dr. Schmidt is affiliated with Providence Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1701 4th St
Ste 200

Santa Rosa, CA 954043601

Telephone 7075792100

Fax 7075230616

Associated Practice Facility / Clinic

🏢 Northern California Medical Assoc Inc Facility NPI 1457534174

Medicare Profile & Education

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Santa Rosa, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +12.5 yrs vs City Avg

City Avg: 31.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

26 Specialists

Practicing in Santa Rosa, CA (3346 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Schmidt (44 Years) 44 Yrs

Santa Rosa Specialty Average (31.5 Years) 31.5 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	350	231	$380.00	$120.76
99291 Critical care, first 30-74 minutes	303	212	$668.00	$214.24
99285 Emergency department visit for life threatening or functioning severity	61	58	$538.00	$173.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	59	$555.00	$178.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$563.00	$179.41
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$311.00	$99.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$740.00	$236.16
49505 Repair of groin hernia (5 years or older)	22	22	$1912.50	$587.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$437.00	$139.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$197.00	$62.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$379.00	$120.61
33533 Coronary artery bypass using artery graft, 1 graft	11	11	$1125.20	$276.82
47562 Removal of gallbladder using an endoscope	11	11	$2100.00	$672.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	343	220	$266.00	$124.21
99291 Critical care, first 30-74 minutes	270	198	$743.00	$219.17
99285 Emergency department visit for life threatening or functioning severity	69	69	$453.00	$178.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	54	$514.00	$181.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$447.00	$179.17
99292 Critical care, each additional 30 minutes	16	12	$320.00	$110.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	458	278	$266.00	$108.75
99291 Critical care, first 30-74 minutes	264	188	$743.00	$229.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	62	$514.00	$210.36
99285 Emergency department visit for life threatening or functioning severity	59	55	$453.00	$184.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$447.00	$182.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	435	280	$169.00	$109.99
99291 Critical care, first 30-74 minutes	272	195	$459.00	$231.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$337.00	$213.49
99285 Emergency department visit for life threatening or functioning severity	37	36	$366.00	$187.02
99284 Emergency department visit with moderate level of medical decision making	20	20	$250.00	$128.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$258.00	$144.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$296.00	$183.77
99239 Hospital discharge day management, more than 30 minutes	11	11	$214.00	$114.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	411	262	$169.00	$111.97
99291 Critical care, first 30-74 minutes	316	235	$459.00	$234.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	82	79	$337.00	$216.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	23	$195.00	$119.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$296.00	$178.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$258.00	$147.41
99284 Emergency department visit with moderate level of medical decision making	23	23	$250.00	$125.65
99292 Critical care, each additional 30 minutes	19	13	$209.00	$118.00
99285 Emergency department visit for life threatening or functioning severity	17	17	$366.00	$182.24
99239 Hospital discharge day management, more than 30 minutes	14	14	$214.00	$116.18
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$132.00	$82.44
47562 Removal of gallbladder using an endoscope	13	13	$2310.00	$705.94
97606 Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm	13	13	$147.00	$30.57
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	13	13	$13.75	$2.73
33533 Coronary artery bypass using artery graft, 1 graft	13	13	$1429.00	$288.95
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	11	11	$132.00	$28.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	426	260	$169.00	$108.42
99291 Critical care, first 30-74 minutes	371	276	$459.00	$229.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	105	101	$337.00	$210.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$293.11	$174.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	19	$192.41	$116.40
97606 Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm	26	18	$147.00	$29.76
99213 Established patient office or other outpatient visit, typically 15 minutes	25	17	$130.00	$79.74
99292 Critical care, each additional 30 minutes	21	19	$209.00	$115.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	14	$126.00	$75.84
49505 Repair of groin hernia (5 years or older)	14	14	$1239.64	$562.36
99239 Hospital discharge day management, more than 30 minutes	13	13	$214.00	$112.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$258.00	$142.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$365.55	$218.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	464	254	$169.00	$107.17
99291 Critical care, first 30-74 minutes	336	235	$459.50	$225.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	59	$337.00	$208.30
99239 Hospital discharge day management, more than 30 minutes	40	40	$214.00	$109.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	38	$126.00	$74.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$284.21	$171.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$258.00	$140.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$188.00	$113.10
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	18	18	$13.17	$2.59
33533 Coronary artery bypass using artery graft, 1 graft	17	17	$1370.06	$282.49
49505 Repair of groin hernia (5 years or older)	13	13	$1335.00	$551.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	358	177	$169.00	$106.09
99291 Critical care, first 30-74 minutes	308	226	$459.00	$225.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	177	118	$126.00	$73.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	102	100	$337.00	$206.82
99239 Hospital discharge day management, more than 30 minutes	24	24	$214.00	$110.70
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$115.00	$76.00
99238 Hospital discharge day management, 30 minutes or less	18	18	$144.00	$74.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$181.00	$112.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$273.38	$139.43
33533 Coronary artery bypass using artery graft, 1 graft	13	13	$1262.00	$254.70
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$159.00	$102.86

Medical Specialties & State Licenses

CMS Verified: 2021-11-10

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G52429

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License CA G52429

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License CA G52429

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1275614596 (CA)

Commercial Insurance / Payer ID Railroad Medicare

P00469232 (CA)

Commercial Insurance / Payer ID Blue Shield Of California

00G524290 (CA)

Hospital & Practice Group Affiliations

Providence Medical Foundation

1165 Montgomery Dr, Santa Rosa, CA 954054801

Phone: 7075463210

Providence Medical Foundation

500 Doyle Park Dr, Santa Rosa, CA 954054559

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Brett Schulte , MD

Surgery

NPI 1285637579

Doctor of Medicine (M.D.)

Dr. Abdul Harris , MD

Surgery

NPI 1396859393

Doctor of Medicine (M.D.)

Dr. Allen Cortez , MD

Surgery

NPI 1518916089

Doctor of Medicine (M.D.)

Dr. Robert Woodbury , MD

Surgery

NPI 1871607937

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2021

Surgery (License #G52429 in CA)

✅

NPI Profile Active February 07, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2012

Registered at 1701 4TH ST, STE 200, SANTA ROSA, CA 954043601 (Tel: 7075792100)

📍

Updated Business Mailing Address February 07, 2012

Registered at 3536 MENDOCINO AVE, STE 200, SANTA ROSA, CA 954033634 (Tel: 7075256485)

👤

Provider Name / Credentials Updated February 07, 2012

Recorded as BRIAN SCHMIDT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2012

Surgery (License #G52429 in CA)

🟢

Initial NPI Registration & Enumeration October 17, 2006

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: 1275614596

Entity Type:

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

Enumeration Date: October 17, 2006

Last Update: November 10, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3536 Mendocino Ave, Ste 200

Santa Rosa, CA 954033634

Phone: 7075256485

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.