Dr. James Schemmel, MD
1313 Fish Hatchery Rd, Madison, WI 53715 • +1-287-555-7631
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Madison Percentiles
NPI #1689617706 • CBSA Regional • Otolaryngology
Dr. James Schemmel, MD (NPI #1689617706) practices Otolaryngology in Madison, WI (53715) with sub-specialty concentration in 49 Active CMS HCPCS Codes, recording 2,473 annual CMS services across 560 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (62.5th Madison percentile) (+0.86σ vs WI state mean, 83.78th statewide percentile).
Procedural volume for Dr. Schemmel is led by HCPCS 99213 (Focused Ear, Nose, Sinus & Throat Examination — 841 annual services, $57–$79 GPCI cash estimate), followed by CPT 31231 (Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy, 618/yr) and CPT 31575 (Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection, 470/yr).
For out-of-network patients contacting +1-287-555-7631, Dr. Schemmel's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.68/5 composite reality score over 7 submissions).
From 1313 Fish Hatchery Rd in Madison (+1-287-555-7631), Dr. Schemmel, MD (30-year clinical track record) delivers 49 Active CMS HCPCS Codes care.
Compared against Madison, WI Otolaryngology peers
2,473 annual services across 560 beneficiaries
Standard deviations from WI Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 841 | 62.5th | $57 – $79 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 618 | 65.5th | $116 – $158 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 470 | 62.5th | $84 – $116 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 321 | 66.5th | $41 – $56 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 223 | 57.5th | $36 – $51 |
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Dr. James Schemmel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Schemmel National Provider Identifier | NPI #1689617706 (MD) | CMS NPPES Registry (53715) |
| Dr. Schemmel Madison CMS Volume Rank | 62.50th Pct (2,473 CMS svcs; Z +0.859σ) | CMS Medicare Part B (WI Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Madison, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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