Active NPI 1295760478 Individual Practitioner Male Practitioner

Dr. Stephen Lloyd Schmidt , MD

Surgery • Roaring Spring, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Schmidt, MD is a certified Surgery practicing in Roaring Spring, PA. With approximately 50 years of clinical experience since completing medical education in 1976, Dr. Schmidt delivers high-quality medical care to the local community at 102 HILLCREST DR.

Dr. Schmidt is affiliated with Upmc Altoona Regional Health Services, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

102 Hillcrest Dr

Roaring Spring, PA 166731210

Telephone 8142242215

Fax 8142242011

Associated Practice Facility / Clinic

🏢 Cove Surgical Associates Ltd Facility NPI 1154451334

Medicare Profile & Education

Medical School

Other

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Roaring Spring, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +11.0 yrs vs City Avg

City Avg: 39.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Roaring Spring, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Schmidt (50 Years) 50 Yrs

Roaring Spring Specialty Average (39.0 Years) 39.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	48	$145.00	$87.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$84.00	$54.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$215.00	$108.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	11	$132.00	$48.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$220.00	$123.46
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$600.00	$177.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	71	$145.00	$88.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$215.00	$108.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	24	$132.00	$37.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$220.00	$124.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$84.00	$53.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$335.00	$162.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$252.00	$131.35
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$834.00	$179.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	66	$145.00	$89.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	25	$132.00	$37.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$215.00	$108.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	30	$220.00	$128.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$335.00	$166.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$84.00	$54.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$252.00	$134.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	50	$132.00	$39.55
99213 Established patient office or other outpatient visit, typically 15 minutes	83	73	$145.00	$74.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	43	$220.00	$104.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$215.00	$104.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$335.00	$163.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	27	$252.00	$138.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	22	$84.00	$44.77
47562 Removal of gallbladder using an endoscope	18	18	$3350.33	$635.27
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$184.00	$102.44
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$600.00	$182.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	132	110	$145.00	$72.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	111	69	$132.00	$39.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	67	$220.00	$105.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	42	$84.00	$44.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$215.00	$106.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$335.00	$162.25
99221 Initial hospital inpatient care per day, typically 30 minutes	32	32	$184.00	$101.39
45378 Diagnostic exam of large bowel using a flexible endoscope	32	32	$834.00	$188.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	27	$2378.00	$112.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$252.00	$136.71
47562 Removal of gallbladder using an endoscope	19	19	$3758.68	$699.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$202.00	$72.58
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$107.00	$74.82
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$600.00	$191.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	140	116	$107.50	$70.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	133	70	$132.00	$38.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	74	$147.00	$104.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	42	$84.00	$42.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	48	$304.00	$200.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$236.33	$160.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$160.56	$105.10
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	17	$324.00	$81.48
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$834.00	$181.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$207.60	$132.46
47562 Removal of gallbladder using an endoscope	24	24	$3835.25	$667.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$252.00	$131.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	19	$2378.00	$107.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	190	101	$132.00	$38.53
99213 Established patient office or other outpatient visit, typically 15 minutes	144	116	$103.00	$70.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	98	$142.00	$103.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	69	$304.00	$198.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	45	$84.00	$41.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$207.00	$154.66
45378 Diagnostic exam of large bowel using a flexible endoscope	46	46	$834.00	$188.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$153.00	$102.53
47562 Removal of gallbladder using an endoscope	23	23	$3657.00	$642.54
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$107.00	$72.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$2378.00	$125.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$200.00	$139.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$252.00	$134.26

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD-026249E

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.

Hospital & Practice Group Affiliations

Upmc Altoona Regional Health Services, Inc.

1414 9th Ave, Altoona, PA 166022415

Phone: 8149461655

Upmc Altoona Regional Health Services, Inc.

1400 9th Ave, Altoona, PA 166022415

Phone: 8149418811

Upmc Altoona Regional Health Services, Inc.

202 Memorial Dr, Everett, PA 155377057

Phone: 8145236400

Upmc Altoona Regional Health Services, Inc.

2525 9th Ave, Altoona, PA 166022014

Phone: 8149426038

Upmc Altoona Regional Health Services, Inc.

1414 9th Ave, Altoona, PA 166022452

Phone: 8149461655

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Howard Black , MD

Surgery

NPI 1215047626

Doctor of Medicine (M.D.)

Dr. George Cummings Iii , DO

Surgery

NPI 1235225111

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 04, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2008

Registered at 102 HILLCREST DR, ROARING SPRING, PA 166731210 (Tel: 8142242215)

📍

Updated Business Mailing Address March 04, 2008

Registered at 102 HILLCREST DR, ROARING SPRING, PA 166731210 (Tel: 8142242215)

👤

Provider Name / Credentials Updated March 04, 2008

Recorded as STEPHEN SCHMIDT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2008

Surgery (License #MD-026249E in PA)

🟢

Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1295760478

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: April 23, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

102 Hillcrest Dr

Roaring Spring, PA 166731210

Phone: 8142242215

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.