Active NPI 1427041557 Individual Practitioner Male Practitioner

Dr. Michael S Schwartz , MD

Orthopaedic Surgery • Plano, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Schwartz, MD is a certified Orthopaedic Surgery practicing in Plano, TX. With approximately 34 years of clinical experience since graduating from State University Of New York At Buffalo School Of Medicine in 1992, Dr. Schwartz delivers high-quality medical care to the local community at 4031 W PLANO PKWY.

Dr. Schwartz is affiliated with Orthotexas Physicians And Surgeons, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, injection, dexamethasone sodium phosphate, 1 mg, 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

4031 W Plano Pkwy
Suite 100

Plano, TX 750935617

Telephone 9729851072

Fax 9729643469

Associated Practice Facility / Clinic

🏢 Dr. Matt's Wellness Center P.l.l.c. Facility NPI 1487988069

Medicare Profile & Education

Medical School

State University Of New York At Buffalo School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Plano, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +7.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

35 Specialists

Practicing in Plano, TX (1627 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Schwartz (34 Years) 34 Yrs

Plano Specialty Average (26.5 Years) 26.5 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
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,052	11	$37.46	$6.32
J1100 Injection, dexamethasone sodium phosphate, 1 mg	872	153	$10.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	386	210	$300.39	$120.58
20610 Aspiration and/or injection of fluid from large joint	296	188	$243.46	$67.21
99213 Established patient office or other outpatient visit, typically 15 minutes	230	146	$200.00	$85.69
73030 X-ray of shoulder, minimum of 2 views	155	99	$74.00	$32.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$450.00	$158.29
73564 X-ray of knee, 4 or more views	148	125	$104.00	$43.79
73560 X-ray of knee, 1-2 views	80	34	$74.00	$30.97
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	54	37	$2150.30	$674.55
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	39	28	$1625.00	$511.84
73502 X-ray of hip, 2-3 views	39	22	$114.00	$44.57
73080 X-ray of elbow, minimum of 3 views	26	13	$80.00	$30.85
73562 X-ray of knee, 3 views	23	19	$89.00	$38.28
27447 Replacement of knee joint, both sides of knee	13	13	$6628.00	$1143.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	808	138	$10.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	530	240	$301.98	$121.73
20610 Aspiration and/or injection of fluid from large joint	284	172	$239.45	$67.06
73564 X-ray of knee, 4 or more views	140	113	$104.00	$44.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$450.00	$158.61
99213 Established patient office or other outpatient visit, typically 15 minutes	121	95	$200.00	$85.57
73030 X-ray of shoulder, minimum of 2 views	114	67	$74.00	$31.88
73560 X-ray of knee, 1-2 views	112	37	$74.00	$32.22
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	72	50	$2150.00	$694.31
73562 X-ray of knee, 3 views	49	33	$89.00	$38.08
73502 X-ray of hip, 2-3 views	45	34	$114.00	$44.94
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	26	15	$1625.00	$511.08
27447 Replacement of knee joint, both sides of knee	18	17	$6628.00	$1222.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	957	166	$10.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	746	331	$300.00	$123.86
20610 Aspiration and/or injection of fluid from large joint	307	200	$256.56	$70.45
73564 X-ray of knee, 4 or more views	153	119	$104.00	$44.78
73030 X-ray of shoulder, minimum of 2 views	127	94	$74.00	$33.78
73562 X-ray of knee, 3 views	111	51	$89.00	$38.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$450.00	$160.43
73560 X-ray of knee, 1-2 views	73	36	$74.00	$32.28
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	64	41	$1625.00	$1007.57
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	55	37	$2150.00	$753.82
73502 X-ray of hip, 2-3 views	40	25	$114.00	$45.98
73080 X-ray of elbow, minimum of 3 views	23	13	$80.00	$29.37
73610 X-ray of ankle, minimum of 3 views	19	11	$80.00	$36.24
27447 Replacement of knee joint, both sides of knee	19	19	$6628.00	$1223.97
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$1388.00	$163.20
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$3245.00	$236.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	808	149	$10.00	$0.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	538	223	$300.28	$126.22
20610 Aspiration and/or injection of fluid from large joint	285	166	$247.17	$68.85
73564 X-ray of knee, 4 or more views	134	112	$104.00	$44.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$450.00	$162.50
73030 X-ray of shoulder, minimum of 2 views	108	67	$74.00	$32.89
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	86	56	$1625.00	$1219.00
99213 Established patient office or other outpatient visit, typically 15 minutes	71	47	$200.00	$88.50
73560 X-ray of knee, 1-2 views	62	21	$74.00	$33.32
73502 X-ray of hip, 2-3 views	49	32	$114.00	$45.41
73562 X-ray of knee, 3 views	40	25	$89.00	$39.34
73110 X-ray of wrist, minimum of 3 views	33	11	$90.00	$39.33
73610 X-ray of ankle, minimum of 3 views	20	12	$80.00	$35.66
27447 Replacement of knee joint, both sides of knee	18	18	$6628.00	$1241.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	422	214	$200.00	$71.68
J1100 Injection, dexamethasone sodium phosphate, 1 mg	376	108	$10.00	$0.12
20610 Aspiration and/or injection of fluid from large joint	267	174	$250.90	$67.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	124	$300.00	$105.16
73564 X-ray of knee, 4 or more views	114	84	$104.00	$41.04
73030 X-ray of shoulder, minimum of 2 views	105	73	$74.00	$31.27
J1040 Injection, methylprednisolone acetate, 80 mg	85	70	$20.00	$11.71
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	77	51	$2150.00	$719.42
73502 X-ray of hip, 2-3 views	68	33	$114.00	$42.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$300.00	$104.85
73562 X-ray of knee, 3 views	62	32	$89.00	$37.63
73560 X-ray of knee, 1-2 views	40	19	$74.00	$30.84
27447 Replacement of knee joint, both sides of knee	14	14	$6628.00	$1282.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$450.00	$151.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	530	236	$200.00	$70.91
20610 Aspiration and/or injection of fluid from large joint	318	206	$248.32	$64.01
J1040 Injection, methylprednisolone acetate, 80 mg	282	182	$20.00	$12.01
73562 X-ray of knee, 3 views	252	143	$89.00	$34.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	142	$300.00	$104.55
73030 X-ray of shoulder, minimum of 2 views	123	81	$74.00	$28.65
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	85	56	$2410.00	$1088.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$300.00	$101.89
73502 X-ray of hip, 2-3 views	57	30	$114.00	$40.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$450.00	$158.76
73560 X-ray of knee, 1-2 views	25	19	$74.00	$29.67
27447 Replacement of knee joint, both sides of knee	18	18	$6628.00	$1280.83
29870 Diagnostic exam of knee using an endoscope	11	11	$1945.00	$553.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$127.00	$51.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	498	222	$175.20	$69.38
20610 Aspiration and/or injection of fluid from large joint	302	198	$253.41	$63.88
J1040 Injection, methylprednisolone acetate, 80 mg	296	187	$20.00	$12.72
73562 X-ray of knee, 3 views	226	143	$89.00	$33.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	165	$260.38	$103.27
73030 X-ray of shoulder, minimum of 2 views	135	89	$74.00	$27.14
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	84	51	$2490.00	$786.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$250.00	$103.94
73502 X-ray of hip, 2-3 views	61	34	$114.00	$38.01
73560 X-ray of knee, 1-2 views	37	24	$74.00	$29.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$400.00	$159.47
27447 Replacement of knee joint, both sides of knee	12	12	$6628.00	$1325.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	513	212	$175.15	$65.24
J1040 Injection, methylprednisolone acetate, 80 mg	341	194	$20.12	$10.86
20610 Aspiration and/or injection of fluid from large joint	338	201	$249.85	$60.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	181	$260.00	$96.18
73562 X-ray of knee, 3 views	210	150	$89.00	$30.60
73030 X-ray of shoulder, minimum of 2 views	159	81	$74.00	$25.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$250.00	$97.52
73560 X-ray of knee, 1-2 views	60	24	$74.00	$27.15
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	57	37	$2490.00	$848.92
73080 X-ray of elbow, minimum of 3 views	32	17	$80.00	$27.83
73502 X-ray of hip, 2-3 views	29	24	$114.00	$35.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$400.00	$147.10
29870 Diagnostic exam of knee using an endoscope	12	12	$1945.00	$522.42
29880 Removal of both knee cartilages using an endoscope	11	11	$1909.00	$515.10
27447 Replacement of knee joint, both sides of knee	11	11	$6628.00	$1249.86

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX K3848

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License TX K3848

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

046482801 (TX)

Commercial Insurance / Payer ID Bcbs Tx 02/01/2011

8CR149 (TX)

Commercial Insurance / Payer ID Medicare Part B - Effect 02/01/2011

TXB117558 (TX)

Commercial Insurance / Payer ID Medicare Railroad - Effect 02/01/2011

P00913337 (TX)

Hospital & Practice Group Affiliations

Orthotexas Physicians And Surgeons, Pllc

5757 Warren Pkwy, Frisco, TX 750344548

Phone: 9729851072

Practice Associates & Co-Workers

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

16 Associated Practitioners

Ashley Kirkman , ATC, OTC

Specialist/Technologist - Athletic Trainer

NPI 1073815155

Certified Athletic Trainer, OTC

Kelly Peters , PA-C

Physician Assistant

NPI 1144666793

Physician Assistant (Certified)

Julie Drinkwater , PT

Physical Therapist

NPI 1235388927

Physical Therapist

William Langford , OPA

Physician Assistant - Medical

NPI 1285693614

Dr. Minh Nguyet Tran , MD

Specialist

NPI 1285825687

Doctor of Medicine (M.D.)

Dr. Aine Mckenzie , MD

Physical Medicine & Rehabilitation

NPI 1285829176

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 23, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2013

Registered at 4031 W PLANO PKWY, SUITE 100, PLANO, TX 750935617 (Tel: 9729851072)

📍

Updated Business Mailing Address May 23, 2013

Registered at 4031 W PLANO PKWY, SUITE 100, PLANO, TX 750935617 (Tel: 9729851072)

👤

Provider Name / Credentials Updated May 23, 2013

Recorded as MICHAEL SCHWARTZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2013

Orthopaedic Surgery (License #K3848 in TX)

🟢

Initial NPI Registration & Enumeration August 24, 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: 1427041557

Entity Type:

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

Enumeration Date: August 24, 2005

Last Update: May 23, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4031 W Plano Pkwy, Suite 100

Plano, TX 750935617

Phone: 9729851072

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.