DR. SIDNEY JAMES SCHMIDT D.D.S.
NPI 1912091026
Dentist - General Practice in Bismarck, ND
NPI Status: Active since October 03, 2006
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About SIDNEY SCHMIDT
This page provides the complete NPI Profile along with additional information for Sidney Schmidt, a provider established in Bismarck, North Dakota with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1912091026 assigned on October 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 1898 (ND). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1912091026
- Provider Name
- DR. SIDNEY JAMES SCHMIDT D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 121 E FRONT AVE BISMARCK, ND 58504
- Location Phone
- (701) 223-1194
- Mailing Address
- 3509 PELICAN PL MANDAN, ND 58554
- Mailing Phone
- (701) 355-0811
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-03-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Sidney Schmidt is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Sidney Schmidt opted out of Medicare effective on 09-13-2017 until 09-13-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 1898
- License State
- ND
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- Delta Dental Bronze + Delta Dental Kids Plan - PPO
- Delta Dental Gold + Delta Dental Kids Plan - PPO
- Delta Dental Kids Plan - PPO
- Delta Dental Platinum + Delta Dental Kids Plan - PPO
- Delta Dental Silver + Delta Dental Kids Plan - PPO
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41176 | MEDICAID (05) | ND |
Medicare Participation & PECOS Enrollment Status
Sidney Schmidt is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-13-2017
Opt-Out End Date: 09-13-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 58504 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.71
- Minimum New Patient Price $55.75
- Maximum New Patient Price $168.12
- Average New Patient Copayment $21.42
- Minimum New Patient Copayment $13.93
- Maximum New Patient Copayment $42.03
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.48
- Minimum Established Patient Price $18.11
- Maximum Established Patient Price $137.65
- Average Established Patient Copayment $17.37
- Minimum Established Patient Copayment $4.52
- Maximum Established Patient Copayment $34.41
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 1 | 2 | 0 | 9 | 1 | 0 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 0 | 9 | 2 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 0 + 9 + 2 + 0 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1912091026 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174633036 | DR. BRADLEY EDHOLM KING DDS Individual | Dentist (General Practice) | 121 E FRONT AVE BISMARCK, ND 58504 (701) 223-1194 |
| 1770756272 | DR. CASEY BRYANT CARLSON D.D.S. Individual | Dentist | 121 E FRONT AVE BISMARCK, ND 58504 (701) 223-1194 |
| 1316398316 | DR. JOHN PERSSON D.D.S. Individual | Dentist (General Practice) | 121 E FRONT AVE BISMARCK, ND 58504 (701) 223-1194 |
| 1982042362 | DR. JADE A DESMIDT DDS Individual | Dentist (General Practice) | 121 E FRONT AVE BISMARCK, ND 58504 (701) 223-1194 |
| 1053806836 | DR. BREANNA M OHLHAUSER DDS Individual | Dentist (General Practice) | 121 E FRONT AVE BISMARCK, ND 58504 (701) 223-1194 |
| 1144391632 | PRAIRIE ROSE FAMILY DENTISTS Organization | Dentist | 121 E FRONT AVE BISMARCK, ND 58504 (701) 223-1194 |
| 1316686686 | DR. NEIL LELM DDS Individual | Dentist (General Practice) | 121 E FRONT AVE BISMARCK, ND 58504 (701) 223-1194 |
| 1760172472 | PAUL RUDOLPH MICHAELSON DDS Individual | Dentist (General Practice) | 121 E FRONT AVE BISMARCK, ND 58504 (701) 223-1194 |
| 1366286916 | DR. JASMYNE M MORRIS HUMPHREY DDS Individual | Dentist (General Practice) | 121 E FRONT AVE BISMARCK, ND 58504 (701) 223-1194 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912091026, enumerated in the NPI registry as an "individual" on October 03, 2006
The provider is located at 121 E Front Ave Bismarck, Nd 58504 and the phone number is (701) 223-1194
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $85.71 with an average copayment of $21.42 for new patient appointments. Established patients should expect a typical charge of $69.48 and an average copayment of 17.37. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on September 13, 2017 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 13, 2025.
This NPI record was last updated on October 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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