Karl Schmitt, M.D.
NPI 1013953033 · Family Medicine Physician · Edgewood, KY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karl Schmitt, M.D. is a Family Medicine Physician provider in Edgewood, KY (NPI 1013953033).
Provider details
- NPI number
- 1013953033
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 28177 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
419 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 87 | $114 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 82 | $121 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 73 | $76 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 65 | $84 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 26 | $166 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 43 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 109 | 37 |
| Pantoprazole Sodium | 67 | 19 |
| Amlodipine Besylate | 66 | 21 |
| Gabapentin | 61 | 13 |
| Metoprolol Succinate | 46 | 11 |
| Lisinopril | 45 | 16 |
| Alprazolam |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$124 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Frequently asked questions
- What is Karl Schmitt's NPI number?
- Karl Schmitt's National Provider Identifier (NPI) is 1013953033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karl Schmitt's specialty?
- Karl Schmitt is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Karl Schmitt located?
- Karl Schmitt's practice location on file with NPPES is 413 S Loop Rd, Edgewood, KY 41017-5446.
- What is Karl Schmitt's phone number?
- The practice phone number listed in the NPPES registry for Karl Schmitt is (859) 301-3800.
- Does Karl Schmitt accept Medicare?
- Karl Schmitt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karl Schmitt's NPI active?
- Yes — Karl Schmitt's NPI (1013953033) is active in the NPPES registry as of the last update on 2022-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.