DR. ROBERT ERNEST SWANEY III MD, MSPH, FACP NPI 1003015207
Internal Medicine - Hematology & Oncology in Newburgh, IN
About DR. ROBERT ERNEST SWANEY III MD, MSPH, FACP
Robert Swaney is an internist established in Newburgh, Indiana and his medical specialization is Internal Medicine with a focus in hematology & oncology with more than 34 years of experience. He graduated from University Of Michigan Medical School in 1989. The NPI number of this provider is 1003015207 and was assigned on July 2007. The practitioner's primary taxonomy code is 207RH0003X with license number 01089229A (IN). The provider is registered as an individual and his NPI record was last updated March 2023.
| NPI | 1003015207 |
| Provider Name | DR. ROBERT ERNEST SWANEY III MD, MSPH, FACP |
| Location Address | 3699 EPWORTH RD NEWBURGH, IN 47630 |
| Location Phone | (812) 471-1200 |
| Mailing Address | 142 N MARION ST DENVER, CO 80218 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1989 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 07-17-2007 |
| Last Update Date | 03-02-2023 |
An internist like Robert Swaney is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Robert Swaney 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), a Home Health Agency (HHA) and Power Mobility Devices.
Robert Swaney is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .
The typical physician office visit costs for Medicare beneficiaries in this area are: $41.88 for a new patient copayment and $24.53 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RH0003X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Hematology & Oncology |
| License No. | 01089229A |
| License State | IN |
| Taxonomy Description | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
3699 EPWORTH RD
NEWBURGH, IN
ZIP 47630
Phone: (812) 471-1200
Mailing Address
142 N MARION ST
DENVER, CO
ZIP 80218
Phone: (303) 981-8682
Fax: (303) 318-2488
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 5496725798 |
| PECOS Enrollment ID | I20220418001335 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 47630 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99205 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $54.76 | $167.54 | $167.54 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.69 | $41.88 | $41.88 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.96 | $137.16 | $98.12 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.24 | $34.29 | $24.53 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 31472 | CO | No |
Taxonomy Description: an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 01314723 | MEDICAID (05) | CO |
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 | 0 | 0 | 3 | 0 | 1 | 5 | 2 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 10 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 2 + 0 + 24 = 33 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 33 = 7 | 7 | ||||||||
The NPI number 1003015207 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659344117 | DR. ANTHONY W STEPHENS M.D. Individual | Internal Medicine (Hematology & Oncology) | 3699 EPWORTH RD SUITE 110 NEWBURGH, IN 47630 (812) 471-1200 |
| 1396718870 | DR. THOMAS M WAITS M.D. Individual | Internal Medicine (Hematology & Oncology) | 3699 EPWORTH RD NEWBURGH, IN 47630 (812) 471-1200 |
| 1679546121 | DR. EDWARD P FOX M.D. Individual | Internal Medicine (Hematology & Oncology) | 3699 EPWORTH RD NEWBURGH, IN 47630 (812) 471-1200 |
| 1629041199 | DR. MARK D BROWNING M.D. Individual | Internal Medicine (Hematology & Oncology) | 3699 EPWORTH RD NEWBURGH, IN 47630 (812) 471-1200 |
| 1316910771 | DR. MICHAEL L TITZER M.D. Individual | Internal Medicine (Hematology & Oncology) | 3699 EPWORTH RD NEWBURGH, IN 47630 (812) 471-1200 |
| 1225001688 | DR. MICHAEL J MILLER M.D. Individual | Radiology (Radiation Oncology) | 3699 EPWORTH RD NEWBURGH, IN 47630 (812) 471-1200 |
| 1043283401 | DR. DAVID H KIM M.D. Individual | Radiology (Radiation Oncology) | 3699 EPWORTH RD NEWBURGH, IN 47630 (812) 471-1200 |
| 1083642797 | ONCOLOGY/HEMATOLOGY ASSOCIATES OF SOUTHWEST INDIANA Organization | Internal Medicine (Hematology & Oncology) | 3699 EPWORTH RD NEWBURGH, IN 47630 (812) 471-1200 |
| 1457463523 | ONCOLOGY HEMATOLOGY ASSOCIATES OF SOUTHWEST INDIANA Organization | Internal Medicine (Hematology & Oncology) | 3699 EPWORTH RD NEWBURGH, IN 47630 (812) 471-1200 |
| 1710150222 | ONCOLOGY HEMATOLOGY ASSOCIATES, PC Organization | Internal Medicine (Hematology & Oncology) | 3699 EPWORTH RD NEWBURGH, IN 47630 (812) 471-1200 |
| 1093127557 | DR. LESLIE RAE PIKE BROWN M.D. Individual | Internal Medicine (Hematology & Oncology) | 3699 EPWORTH RD NEWBURGH, IN 47630 (812) 471-1200 |
| 1679816920 | DAN ISHIHARA M.D., PH.D. Individual | Radiology (Radiation Oncology) | 3699 EPWORTH RD NEWBURGH, IN 47630 (812) 471-1200 |
Frequently Asked Questions
What is Dr. Robert Swaney III MD, MSPH, FACP NPI number?
The NPI number assigned to this healthcare provider is 1003015207, registered as an "individual" on July 17, 2007
Where is Dr. Robert Swaney III MD, MSPH, FACP located?
The provider is located at 3699 Epworth Rd Newburgh, In 47630 and the phone number is (812) 471-1200
Which is Dr. Robert Swaney III MD, MSPH, FACP specialty?
The provider's speciality is Internal Medicine with a focus in Hematology & Oncology
How many years of experience does Dr. Robert Swaney III MD, MSPH, FACP have?
The provider has more than 34 years of experience. He graduated from University Of Michigan Medical School in 1989.
What insurance does Dr. Robert Swaney III MD, MSPH, FACP accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Robert Swaney III MD, MSPH, FACP registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Robert Swaney III MD, MSPH, FACP?
Medicare beneficiaries should expect a typical cost of $167.54 with an average copayment of $41.88 for new patient appointments. Established patients should expect a typical charge of $98.12 and an average copayment of 24.53. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Dr. Robert Swaney III MD, MSPH, FACP was last updated on July 17, 2007. 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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