JEROME JOHN JR. SCHULTE (MD) – Psychiatry Physician, NPI 1003965294

JEROME JOHN JR. SCHULTE (MD) is a healthcare provider. based in Dayton, Ohio. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 35-05-9121 (OH). The NPI Number for JEROME JOHN JR. SCHULTE (MD) is 1003965294

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
JEROME JOHN JR. SCHULTE (MD)
NPI
1003965294
Phone
(937) 734-4363
Address
2222 PHILADELPHIA DR
Enumeration Date
9 January 2007
Last Update Date
21 November 2013

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5135811755
Graduation Year
1988 (38 years ago)
PAC ID
3476787755
Group Practice PAC ID
7618285057
Professional Enrollment ID
I20130930000547
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JEROME JOHN JR. SCHULTE (MD)

  • Good Samaritan Hospital, 2222, Philadelphia Drive, Upper Dayton View, Dayton, Montgomery County, Ohio, 45406, United States

    SUITE 4505

    DAYTON, OH 454061813

    Phone: (937) 734-4363

    Fax: (937) 734-4181

    Type: Mailing

  • 2200, Philadelphia Drive, Upper Dayton View, Dayton, Montgomery County, Ohio, 45406, United States

    SUITE 4505

    DAYTON, OH 454061840

    Phone: (937) 734-2446

    Fax: (937) 734-4219

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130930000547IPsychiatryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45406)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618285057View full group profile

Reviews

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Frequently asked questions

What number should I use to identify JEROME JOHN JR. SCHULTE (MD) for billing?
Administrative and clinical systems typically use NPI 1003965294 for JEROME JOHN JR. SCHULTE (MD).
Should I treat JEROME JOHN JR. SCHULTE (MD) as an active provider?
Patients and plans typically see JEROME JOHN JR. SCHULTE (MD) as active in the national extract.
What type of care does JEROME JOHN JR. SCHULTE (MD) provide?
JEROME JOHN JR. SCHULTE (MD)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JEROME JOHN JR. SCHULTE (MD)?
JEROME JOHN JR. SCHULTE (MD) is associated with Dayton, Ohio in the same public data insurers reference.
Can I export JEROME JOHN JR. SCHULTE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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