DR. ROBERT ERNEST SWANEY III MD, MSPH, FACP
NPI 1003015207
Internal Medicine - Hematology & Oncology in Newburgh, IN

NPI Status: Active since July 17, 2007

Contact Information

3699 EPWORTH RD
NEWBURGH, IN
ZIP 47630
Phone: (812) 471-1200

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  • Individual
  • Male
  • Years of Experience 35
  • Internal Medicine
  • Hematology & Oncology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ROBERT SWANEY

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 35 years of experience. He graduated from University Of Michigan Medical School in 1989. The healthcare provider is registered in the NPI registry with number 1003015207 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 one year ago.

NPI
1003015207
Provider Name
DR. ROBERT ERNEST SWANEY III MD, MSPH, FACP
Gender
Male
Entity Type
Individual
Location Address
3699 EPWORTH RD NEWBURGH, IN 47630
Location Phone
(812) 471-1200
Mailing Address
142 N MARION ST DENVER, CO 80218
Mailing Phone
(303) 981-8682
Mailing Fax
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
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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 registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

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.

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

Internal Medicine Hematology & Oncology

Taxonomy Code
207RH0003X
Type
Allopathic & Osteopathic Physicians
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

31472 (CO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • CareSource

    • CareSource Marketplace Bronze First - HMO
    • CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Gold - HMO
    • CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Silver - HMO
    • CareSource Marketplace Core Silver Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Gold - HMO
    • CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Silver - HMO
    • CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Essential Silver - HMO
    • CareSource Marketplace Essential Silver Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Gold - HMO
    • CareSource Marketplace Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace HSA Eligible Bronze - HMO
  • Medicare

  • Medicaid


*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
01314723MEDICAID (05)CO 

PECOS Enrollment and Medicare Participation Status

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.

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

  • PECOS PAC ID: 5496725798

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230126001462

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 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: Yes

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 47630 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $167.54
  • Minimum New Patient Price $54.76
  • Maximum New Patient Price $167.54
  • Average New Patient Copayment $41.88
  • Minimum New Patient Copayment $13.69
  • Maximum New Patient Copayment $41.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.12
  • Minimum Established Patient Price $16.96
  • Maximum Established Patient Price $137.16
  • Average Established Patient Copayment $24.53
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $34.29

* 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.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Robert Swaney is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
DEACONESS HOSPITAL INC600 MARY ST
EVANSVILLE, IN 47747
(812) 450-5000Acute Care Hospitals
ASCENSION ST VINCENT EVANSVILLE3700 WASHINGTON AVE
EVANSVILLE, IN 47750
(812) 485-4000Acute Care Hospitals
MEMORIAL HOSPITAL AND HEALTH CARE CENTER800 W 9TH ST
JASPER, IN 47546
(812) 996-2345Acute Care Hospitals
ASCENSION ST VINCENT WARRICK1116 MILLIS AVE
BOONVILLE, IN 47601
(812) 897-4800Critical Access Hospitals
DEACONESS HENDERSON HOSPITAL1305 N ELM ST
HENDERSON, KY 42420
(270) 827-7700Acute Care Hospitals

Reviews for DR. ROBERT ERNEST SWANEY III MD, MSPH, FACP

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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.
1003015207
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011020
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 = 77

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
1659344117DR. ANTHONY W STEPHENS M.D.
Individual
Internal Medicine (Hematology & Oncology)3699 EPWORTH RD SUITE 110
NEWBURGH, IN 47630
(812) 471-1200
1396718870DR. THOMAS M WAITS M.D.
Individual
Internal Medicine (Hematology & Oncology)3699 EPWORTH RD
NEWBURGH, IN 47630
(812) 471-1200
1679546121DR. EDWARD P FOX M.D.
Individual
Internal Medicine (Hematology & Oncology)3699 EPWORTH RD
NEWBURGH, IN 47630
(812) 471-1200
1316910771DR. MICHAEL L TITZER M.D.
Individual
Internal Medicine (Hematology & Oncology)3699 EPWORTH RD
NEWBURGH, IN 47630
(812) 471-1200
1225001688DR. MICHAEL J MILLER M.D.
Individual
Radiology (Radiation Oncology)3699 EPWORTH RD
NEWBURGH, IN 47630
(812) 471-1200
1083642797ONCOLOGY/HEMATOLOGY ASSOCIATES OF SOUTHWEST INDIANA
Organization
Internal Medicine (Hematology & Oncology)3699 EPWORTH RD
NEWBURGH, IN 47630
(812) 471-1200
1457463523ONCOLOGY HEMATOLOGY ASSOCIATES OF SOUTHWEST INDIANA
Organization
Internal Medicine (Hematology & Oncology)3699 EPWORTH RD
NEWBURGH, IN 47630
(812) 471-1200
1710150222ONCOLOGY HEMATOLOGY ASSOCIATES, PC
Organization
Internal Medicine (Hematology & Oncology)3699 EPWORTH RD
NEWBURGH, IN 47630
(812) 471-1200
1093127557DR. LESLIE RAE PIKE BROWN M.D.
Individual
Internal Medicine (Hematology & Oncology)3699 EPWORTH RD
NEWBURGH, IN 47630
(812) 471-1200
1184243289 CAROLINE COUGHLIN APRN
Individual
Nurse Practitioner (Gerontology)3699 EPWORTH RD
NEWBURGH, IN 47630
(812) 471-1200
1437937216 KRISTIN DENISE HANNEBAUER RN, AGACNP-BC
Individual
Nurse Practitioner (Acute Care)3699 EPWORTH RD
NEWBURGH, IN 47630
(812) 471-1200
1821056425DR. DOUGLAS R DEBENHAM M.D.
Individual
Radiology (Radiation Oncology)3699 EPWORTH RD
NEWBURGH, IN 47630
(812) 471-1200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003015207, enumerated in the NPI registry as an "individual" on July 17, 2007

The provider is located at 3699 Epworth Rd Newburgh, In 47630 and the phone number is (812) 471-1200

The provider's speciality is Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology

The provider has more than 35 years of experience. He graduated from University Of Michigan Medical School in 1989.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 21, 2024 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), a Home Health Agency (HHA) and Power Mobility Devices.

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.

The practitioner is affiliated to the following hospital(s): DEACONESS HOSPITAL INC, ASCENSION ST VINCENT EVANSVILLE, MEMORIAL HOSPITAL AND HEALTH CARE CENTER, ASCENSION ST VINCENT WARRICK and DEACONESS HENDERSON HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.