Medicare Enrolled

Dr. Theodore Schwartz, MD

Neurological Surgery · New York, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1468 MADISON AVE, New York, NY 10029
6468735215
Registered in NPPES since 2006
NPI: 1811916455 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Schwartz from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Schwartz

Dr. Theodore Schwartz is a neurological surgery specialist in New York, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Schwartz performed 315 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Schwartz received a total of $12,424 from 9 pharmaceutical and/or device companies across 23 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Schwartz is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 27% volume in NY $12,424 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
315
Medicare services
Top 27% in NY for neurological surgery
Not available
Unique patients (not deduplicated)
$393
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
84 $80 $126
Computer-assisted brain procedure
A surgical or diagnostic procedure performed within the brain using computer technology to assist with precision and guidance.
39 $242 $452
New patient office visit, complex (60-74 min) 36 $204 $358
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
31 $149 $285
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
18 $164 $250
Surgical removal of nasal sinuses to access brain growth
A surgical procedure involving the removal of nasal sinuses to gain access to a growth in the brain.
16 $1,229 $4,412
Removal of skull base growth or tissue
Surgical removal of a growth or tissue located at the front of the skull base within the membranes covering the brain.
16 $2,133 $4,473
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
14 $8 $49
Brain covering repair using vascular or muscle graft
A surgical procedure to repair the protective covering of the brain by using a graft made from blood vessels or muscle tissue.
14 $759 $2,635
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
14 $116 $186
Skull bone removal for upper brain growth
Surgical removal of a portion of the skull to access and remove a growth in the upper part of the brain.
11 $2,252 $4,135
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
11 $105 $188
Initial hospital admission, low complexity
Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter.
11 $70 $174
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$12,424
Total received (2018-2024)
Avg $2,071/year across 6 years
Top 26% in NY for neurological surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
9
Companies
23
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$150
2022
$867
2021
$11
2020
$2,350
2019
$1,500
2018
$7,545

Payments by company (2024)

KARL STORZ Endoscopy-America
$150
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Covidien LP
$7,222
Integra LifeSciences Corporation
$3,000
NX Development Corp.
$850
Evolution Surgical, Inc
$791
Zimmer Biomet Holdings, Inc.
$287
KARL STORZ Endoscopy-America
$187
Medexus Pharma, Inc.
$47
Medtronic, Inc.
$30
Omniscient Neurotechnology America Ltd
$11
Top 3 companies account for 89.1% of all-time payments
Associated products mentioned in payments ›
2/PKG · BIPOLAR FORCEPS INSERT · CODMAN CERTAS · DURAGEN · DURASEAL EXACT · Gleolan · Quicktome · ROSA Brain · STERILE · VS3 IRIDIUM - FLUORESCENCE HIGH DEFINITION CAMERA (CAMERA-IR) · VSiii3
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a neurological surgery specialist in New York?
Compare neurological surgerists in the New York area by procedure volume, costs, and industry payment transparency.
Browse neurological surgerists nearby

Geographic Context

Neurological surgerists in nearby ZIP areas
381
County median income
$104,553
Nearest hospital to ZIP centroid (approximate)
MOUNT SINAI HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Schwartz is a clinical cardiology specialist, with above-average Medicare volume (top 27% in NY), with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Schwartz experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Schwartz performed 84 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Schwartz receive payments from pharmaceutical companies?
Yes. Dr. Schwartz received a total of $12,424 from 9 companies across 23 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Schwartz's costs compare to other neurological surgerists in New York?
Dr. Schwartz's average Medicare payment per service is $393. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Schwartz) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →