Active NPI 1811074065 Individual Practitioner Female Practitioner

Debra Ann Schmelzer , PA-C

Physician Assistant • Madison Heights, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Debra Schmelzer, PA-C is a certified Physician Assistant practicing in Madison Heights, MI. With approximately 24 years of clinical experience since completing medical education in 2002, Debra Schmelzer delivers high-quality medical care to the local community at 555 HORACE BROWN DR.

Debra Schmelzer maintains professional affiliations with Oxford Urgent Care Plc, First Choice Urgent Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19), established 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

555 Horace Brown Dr
Suite 200

Madison Heights, MI 480711867

Telephone 7736973144

Associated Practice Facility / Clinic

🏢 Activate Healthcare Michigan Facility NPI 1437577061

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Madison Heights, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +18.5 yrs vs City Avg

City Avg: 5.5 Yrs

State Avg: 12.2 Yrs

Regional Practice Density

20 Specialists

Practicing in Madison Heights, MI (7057 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Schmelzer (24 Years) 24 Yrs

Madison Heights Specialty Average (5.5 Years) 5.5 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$175.00	$96.25
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	12	12	$124.00	$40.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$162.08	$97.40
99213 Established patient office or other outpatient visit, typically 15 minutes	41	41	$145.98	$77.78
81003 Automated urinalysis test	20	19	$5.45	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$258.67	$143.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	127	106	$155.00	$79.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$150.00	$98.46
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b	36	18	$160.00	$141.64
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	32	31	$87.19	$35.17
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	25	25	$90.00	$30.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$255.00	$146.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$189.38	$111.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	97	$155.00	$80.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	104	$150.00	$99.32
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	64	60	$86.25	$35.33
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b	18	12	$160.00	$142.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$255.00	$148.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$150.00	$96.68
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	45	45	$90.00	$35.33
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$115.00	$68.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$255.00	$146.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$240.00	$128.89
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$155.00	$67.19
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	16	16	$90.00	$51.12
81002 Urinalysis, manual test	13	13	$10.00	$3.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$185.00	$96.22
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b	12	12	$160.00	$142.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	68	$130.61	$54.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	67	$155.34	$92.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$233.42	$143.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	16	$47.57	$13.95
81002 Urinalysis, manual test	17	17	$9.76	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	77	$124.00	$53.15
G0008 Administration of influenza virus vaccine	25	25	$26.00	$19.33
90662 Influenza vaccine split virus, preservative free	21	21	$50.00	$49.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	16	$38.00	$16.49

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601003840

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi Group Practice

1437577061 (MI)

Hospital & Practice Group Affiliations

First Choice Urgent Care Pc

72 S Washington St, Oxford, MI 483716421

Phone: 2482368333

First Choice Urgent Care Pc

23455 Michigan Ave, Dearborn, MI 481241908

Phone: 7343338001

First Choice Urgent Care Pc

23455 Michigan Ave, Dearborn, MI 481241908

Oxford Urgent Care Plc

72 S Washington St, Oxford, MI 483716421

Phone: 2482368333

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 04, 2014

Registered at 555 HORACE BROWN DR, SUITE 200, MADISON HEIGHTS, MI 480711867 (Tel: 7736973144)

📍

Updated Business Mailing Address June 04, 2014

Registered at 2115 N DAMEN AVE, 2ND FLOOR, CHICAGO, IL 606474528 (Tel: 7736973144)

👤

Provider Name / Credentials Updated June 04, 2014

Recorded as DEBRA SCHMELZER, P.A.-C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2014

Physician Assistant (License #5601003840 in MI)

🟢

Initial NPI Registration & Enumeration November 01, 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: 1811074065

Entity Type:

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

Enumeration Date: November 01, 2006

Last Update: June 04, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2115 N Damen Ave, 2nd Floor

Chicago, IL 606474528

Phone: 7736973144

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.