Doctor profile · Federal record
Dr. Theodore Schwartz, MD
Neurological Surgery Physician (CMS: Neurosurgery) · New York, NY
- NPI 1811916455
- Accepts Medicare
- MIPS 93.4 / 100 · 2023
- 33 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1468 Madison Ave
New York, NY 100296508
(646) 873-5215 - Additional location
-
5 E 98Th St Fl 7
New York, NY 100296501
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- November 26, 2025
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 207T00000X — NUCC code
- State license (1)
- New York #218102
- Medicaid
- NY #02161017
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811916455. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
315
Distinct HCPCS
10
Medicare allowed
$155,471
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 84 | 81 | $104 | |
61781 |
Computer-assisted procedure inside brain | 39 | 39 | $302 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 36 | 36 | $255 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $193 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 18 | 16 | $206 | |
61580 |
Removal of nasal sinuses to approach growth of brain | 16 | 16 | $1,535 | |
61601 |
Removal of growth or tissue of front of skull base within membranes covering brain | 16 | 16 | $2,665 | |
36415 |
Insertion of needle into vein for collection of blood sample | 14 | 14 | $8 | |
61619 |
Repair of brain covering by vascular or combined vascular muscle graft | 14 | 14 | $949 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 14 | 14 | $145 |
In context: peer comparison
Among 42 peers in New York Neurological Surgery Physician, average services per provider: 36. This provider delivers 8.8× the peer median.Open Payments
Industry payments received
All-time total
$150
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Karl Storz Endoscopy-America | 1 | $150.00 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Theodore Schwartz's medical specialty?
Dr. Theodore Schwartz practices Neurological Surgery Physician in New York, NY.
Where does Dr. Theodore Schwartz practice?
Dr. Theodore Schwartz practices at 1468 Madison Ave, New York, NY 100296508. Office phone: 6468735215.
What is Dr. Theodore Schwartz's NPI?
Dr. Theodore Schwartz's National Provider Identifier (NPI) is 1811916455, issued by NPPES.
Does Dr. Theodore Schwartz accept Medicare assignment?
Yes. Dr. Theodore Schwartz accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theodore Schwartz commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Computer-assisted procedure inside brain (HCPCS 61781); New patient office or other outpatient visit (HCPCS 99205). Source: CMS Medicare Physician & Other Practitioners file.