Dr. Mark A Schmidt , MD
Urology โข Roanoke, VA
5372 Fallowater Ln
Roanoke, VA 240180907
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 19, 2005; this date does not establish years in practice.
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Published CMS data list 3,807 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 1,274 service units.
- 51798 โ Ultrasound measurement of bladder capacity after voiding: 407 service units.
- 99214 โ Established patient outpatient office visit: 398 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 23 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 3,994 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Finasteride โ 1,049 prescription fills, including refills.
- Tamsulosin Hcl โ 853 prescription fills, including refills.
- Alfuzosin Hcl Er (Alfuzosin Hcl) โ 771 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 26 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Urology in Virginia (2024, 218 clinicians with data). Median for this group: 2,306. Middle half: 766 to 5,298.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 12,850 in 2020 to 3,807 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
5372 Fallowater Ln
Roanoke, VA 240180907
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Carilion Healthcare Corporation; Carilion Medical Center. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Medical College Of Georgia School Of Medicine
1988
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
1,719 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $374,813 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $263,040 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
10,225 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$399,109 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $35.06 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
38 years (graduated 1988)
CMS Doctors and Clinicians data list 1988 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Schmidt has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Schmidt as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Roanoke and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Urology in Virginia (2024, 218 clinicians with data). Median for this group: 2,306. Middle half: 766 to 5,298.
Too few clinicians listed under Urology in Roanoke have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Urology in Virginia (2024, 218 clinicians with data). Median for this group: $176,111. Middle half: $72,177 to $296,677.
Too few clinicians listed under Urology in Roanoke have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Urology in Virginia (2024, 218 clinicians with data). Median for this group: $131,847. Middle half: $54,881 to $222,518.
Too few clinicians listed under Urology in Roanoke have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Urology in Roanoke, VA (2024, 13 clinicians with data). Median for this group: 416. Middle half: 92 to 1,288.
More Part D prescriptions than 95% of clinicians listed under Urology in Virginia (2024, 234 clinicians with data). Median for this group: 966. Middle half: 304 to 1,617.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Urology in Roanoke, VA (2024, 13 clinicians with data). Median for this group: $22,164. Middle half: $732 to $65,359.
A higher Part D drug cost than 75% of clinicians listed under Urology in Virginia (2024, 234 clinicians with data). Median for this group: $86,734. Middle half: $15,005 to $302,997.
13 active clinicians are listed under Urology with a practice address in Roanoke, VA (359 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Roanoke
7.7% of these 13 clinicians have the CMS telehealth indicator.
76.9% of these 13 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 70% from 12,850 in 2020 to 3,807 in 2024.
- 2020: 12,850
- 2021: 11,709
- 2022: 5,134
- 2023: 3,630
- 2024: 3,807
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Medicare-allowed amount
Medicare-allowed amount decreased 30% from $532,868 in 2020 to $374,813 in 2024.
- 2020: $532,868
- 2021: $572,401
- 2022: $504,605
- 2023: $372,537
- 2024: $374,813
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Paid by Medicare
Paid by Medicare decreased 33% from $392,727 in 2020 to $263,040 in 2024.
- 2020: $392,727
- 2021: $422,115
- 2022: $359,619
- 2023: $266,977
- 2024: $263,040
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 4,279 in 2020 and 3,994 in 2024.
- 2020: 4,279
- 2021: 4,239
- 2022: 4,060
- 2023: 3,764
- 2024: 3,994
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30-day fills
30-day fills stayed about the same: 9,474 in 2020 and 10,225 in 2024.
- 2020: 9,474
- 2021: 9,697
- 2022: 9,841
- 2023: 9,453
- 2024: 10,225
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Part D drug cost
Part D drug cost decreased 26% from $539,915 in 2020 to $399,109 in 2024.
- 2020: $539,915
- 2021: $500,882
- 2022: $516,275
- 2023: $444,080
- 2024: $399,109
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 100% from $33,431.21 in 2021 to $35.06 in 2025.
- 2021: $33,431.21
- 2022: $5,996.54
- 2023: $261.45
- 2024: $144.54
- 2025: $35.06
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $35.06.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Education
In-kind items and services
|
IMFINZI | General | $35.06 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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1,274 | 1,153 | $155.00 | $87.76 |
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51798
Ultrasound measurement of bladder capacity after voiding
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407 | 303 | $90.00 | $10.87 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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398 | 336 | $219.00 | $123.41 |
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J9217
Leuprolide acetate (for depot suspension), 7.5 mg
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356 | 39 | $1438.76 | $178.45 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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260 | 200 | $584.32 | $230.32 |
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81000
Manual urinalysis test with examination using microscope, non-automated
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240 | 222 | $15.00 | $3.91 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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172 | 172 | $320.00 | $160.13 |
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96372
Injection of drug or substance under skin or into muscle
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135 | 25 | $48.00 | $13.85 |
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51702
Simple insertion of temporary bladder tube
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114 | 26 | $212.00 | $60.01 |
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96402
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
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98 | 42 | $100.00 | $34.07 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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96 | 91 | $97.00 | $54.67 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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60 | 60 | $200.00 | $107.66 |
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J3260
Injection, tobramycin sulfate, up to 80 mg
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31 | 11 | $5.00 | $2.49 |
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99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
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28 | 25 | $44.00 | $22.51 |
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55700
Biopsy of prostate gland
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20 | 19 | $638.45 | $231.60 |
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52332
Insertion of stent in ureter using an endoscope
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18 | 15 | $999.89 | $154.00 |
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52356
Crushing of stone of ureter with insertion of stent using an endoscope
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17 | 17 | $1421.65 | $403.02 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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16 | 16 | $342.38 | $174.16 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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16 | 16 | $300.00 | $124.44 |
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52235
Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm
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14 | 13 | $1064.00 | $272.15 |
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99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
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13 | 13 | $238.00 | $78.90 |
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51700
Simple bladder irrigation and/or instillation
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12 | 12 | $236.00 | $73.89 |
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52601
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope
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12 | 12 | $2348.25 | $696.06 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Finasteride | Finasteride | 1,049 | 92,657 | $12,882.87 | 329 |
| Tamsulosin Hcl | Tamsulosin Hcl | 853 | 72,940 | $9,953.48 | 265 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 771 | 56,984 | $12,605.00 | 242 |
| Myrbetriq | Mirabegron | 340 | 19,941 | $300,779.13 | 94 |
| Methenamine Hippurate | Methenamine Hippurate | 195 | 16,475 | $24,224.84 | 74 |
| Levofloxacin | Levofloxacin | 104 | 432 | $282.45 | 87 |
| Bicalutamide | Bicalutamide | 86 | 5,067 | $2,580.38 | 32 |
| Estradiol | Estradiol | 73 | 5,208 | $4,519.77 | 58 |
| Dutasteride | Dutasteride | 61 | 5,490 | $2,844.86 | 20 |
| Solifenacin Succinate | Solifenacin Succinate | 55 | 4,183 | $4,198.19 | 16 |
| Fesoterodine Fumarate Er | Fesoterodine Fumarate | 53 | 3,310 | $6,588.50 | 12 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 46 | 249 | $170.11 | 36 |
| Cephalexin | Cephalexin | 37 | 460 | $227.70 | 17 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 35 | 309 | $108.76 | 28 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 34 | 2,880 | $838.64 | 12 |
| Testosterone Cypionate | Testosterone Cypionate | 34 | 2,100 | $1,277.33 | 12 |
| Doxazosin Mesylate | Doxazosin Mesylate | 32 | 2,850 | $512.25 | โ |
| Allopurinol | Allopurinol | 23 | 1,955 | $197.97 | โ |
| Testosterone | Testosterone | 22 | 960 | $4,463.94 | โ |
| Hydrochlorothiazide | Hydrochlorothiazide | 15 | 1,350 | $122.42 | โ |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 14 | 79 | $115.38 | 11 |
| Premarin | Estrogens, Conjugated | 14 | 780 | $4,028.63 | โ |
| Imipramine Hcl | Imipramine Hcl | 14 | 1,260 | $311.03 | โ |
| Silodosin | Silodosin | 12 | 1,080 | $2,096.18 | โ |
| Trospium Chloride Er | Trospium Chloride | 11 | 930 | $1,791.13 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-10-24NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20100902001111
VA
5193811123
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Carilion Healthcare Corporation
1935 W Main St, Salem, VA 241533109
Phone: 5403870441
Carilion Medical Center
5372 Fallowater Ln, Roanoke, VA 240180907
Phone: 5402836000
Carilion Medical Center
2017 S Jefferson St, Roanoke, VA 240142419
Phone: 5409817128
Carilion Medical Center
2017 Jefferson St Sw, Roanoke, VA 240142419
Phone: 5409817925
Carilion Healthcare Corporation
1955 W Main St, Salem, VA 241533109
Phone: 5403870441
Carilion Medical Center
1906 Belleview Ave Se, Roanoke, VA 240141838
Phone: 5409817000
Carilion Medical Center
101 Elm Ave, Roanoke, VA 240132222
Phone: 5402244380
Carilion Healthcare Corporation
6415 Peters Creek Rd, Roanoke, VA 240194021
Phone: 7035622110
Carilion Medical Center
101 Elm Ave Se, Roanoke, VA 240132222
Phone: 5402246780
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.), Master of Science, Master of Business Administration
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Internal Medicine - Rheumatology
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 5372 FALLOWATER LN, ROANOKE, VA 240180907 (Tel: 5402245170)
Registered at 213 S JEFFERSON ST STE 1006, ROANOKE, VA 240111713 (Tel: 5402245715)
NPI status registered as active in NPPES database
Registered at 1234 FRANKLIN RD SW, ROANOKE, VA 240164606 (Tel: 5403451561)
Registered at 1234 FRANKLIN RD SW, ROANOKE, VA 240164606 (Tel: 5403451561)
Recorded as MARK SCHMIDT, M.D.
Specialist (license number reported to NPPES: VA 0101050543)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Roanoke
- Dr. Stephanya Shear, MD
- Dr. Laura Oscar, MD
- Dr. Yu Zhang, MD
- Dr. Scott Perrapato, DO
- Dr. Daniel Rukstalis, MD
- Dr. Charles Daniel, MD
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Directory navigation, in NPI number order.
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Mailing Address
213 S Jefferson St Ste 1006
Roanoke, VA 240111713
Phone: 5402245715