Individual provider Active NPI

Jeffrey Adam Schneider, MD

  • Interventional Pain Medicine Physician
  • Havre de Grace, MD
National Provider Identifier
1700032711
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
D0071548 Issued in MD
Practice address
253 Lewis LN Ste 302
Havre de Grace, MD 21078-3757
Phone
(410) 942-0620
Fax
(410) 939-2080
NPI assigned
Aug 9, 2008
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X D0071548 MD
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA08509500 NJ
Interventional Pain Medicine Physician 208VP0014X D0071548 MD Primary

Addresses

Primary practice location

253 Lewis LN Ste 302
Havre de Grace, MD 21078-3757

Mailing address

253 Lewis LN Ste 302
Havre de Grace, MD 21078-3757
Phone (410) 942-0620

Other identifiers 1

IdentifierTypeStateIssuer
038685500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110228000679 MD Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 5294859120 Reassigns benefits to 1 organization
I20110303000286 DC Practitioner - Interventional Pain Management 5294859120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Sports and Spine Pain Management LLCGroup PAC ID 2860629458, 2 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

253 Lewis LN
Suite 302
Havre de Grace, MD 21078-3757
Phone (410) 942-0620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.66 of 100Reported as individual
Quality
94.02
Promoting interoperability
100
Improvement activities
40
Cost
48.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08509500NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sports & Spine Pain Management, LLC CurrentSince Oct 1, 2022 Accepting new patients
Innovative Surgery Center, LLC Current Accepting new patients
Deck Pain Management , LLC Interventional Pain Medicine Past Accepting new patients

Locations

253 Lewis Ln
Ste 301
Hvre de Grace, MD 21078
Phone (410) 942-0620

253 Lewis Ln
Ste 302
Hvre de Grace, MD 21078
Phone (410) 942-0620

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13477/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/7962/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeffrey.schneider.1@13477.direct.athenahealth.com
  • Direct secure messaging: jeffrey.schneider.1@7962.direct.athenahealth.com
  • Direct secure messaging: jschneider650020@direct.umm.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1700032711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 LEWIS LN STE 302",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783757",
            "telephone_number": "410-942-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 LEWIS LN STE 302",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783757",
            "telephone_number": "410-942-0620",
            "fax_number": "410-939-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "JEFFREY",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-09",
        "last_updated": "2022-10-20",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0071548",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08509500",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D0071548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038685500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.