Karl M. Schmitt, M.D.
NPI 1013953033ActiveIndividual· Family Medicine· Edgewood, KY
Family Medicine (M.D.) in Edgewood, Kentucky, trained at University of Cincinnati College of Medicine (class of 1990). Their prescriptions cost Medicare Part D more than their services did: $160,165 for 1,461 claims, against $37,385 paid for services in 2024. Lilly USA, LLC was the largest of 4 companies reporting payments in 2025, $84.45 in all, mostly food and beverage.
Overview
| NPI | 1013953033 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 20, 2006 |
| Last updated in NPPES | Mar 22, 2022 |
| Certified by provider | Mar 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 28177 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 178 |
|---|---|
| Services billed | 1,000 across 50 procedure codes |
| Paid by Medicare | $37,385 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,461 · 2,973 30-day fills |
|---|---|
| Patients | 164 |
| Total drug cost | $160,165 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | University of Cincinnati College of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Family Practice |
Medical groups
- St Elizabeth Medical Center, IncEdgewood, KY · 187 clinicians
- Kentucky Rehabilitation Services, Inc.Crescent Springs, KY · 141 clinicians
Hospital affiliations
- St Elizabeth EdgewoodEdgewood, KY
- St Elizabeth Ft ThomasFort Thomas, KY
Other facilities
- Amedisys Home Health of KentuckyHome health agency · Crestview Hills, KY
- St Elizabeth Home CareHome health agency · Florence, KY
Industry payments (Open Payments)
- 2025$84.45 · 4 payments from 4 companies
- 2024$124.21 · 7 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $31.34 | 1 |
| Sage Therapeutics, LLC | $21.18 | 1 |
| Exact Sciences Corporation | $18.31 | 1 |
| Merck Sharp & Dohme LLC | $13.62 | 1 |
What the 2025 payments were for
- Food and Beverage$84.45 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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