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DR. STEPHEN M. SWIRSKY DO
NPI 1003864638
Orthopaedic Surgery - Sports Medicine in Boca Raton, FL

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
30.41/100
CMS Quality Rating
6853 SW 18TH ST STE M111, BOCA RATON, FL 33433(561) 617-7996(561) 228-0318 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2023, Feb 23, 2023, Aug 1, 2022 and 2 more (5 updates tracked since 2015).

About Dr. Stephen M. Swirsky Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN M. SWIRSKY DO (NPI 1003864638) is an individual sports medicine provider in Boca Raton, Florida, licensed in Florida (OS8222) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1003864638
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. STEPHEN M. SWIRSKYCredential: DO
Location Address6853 SW 18TH ST STE M111Boca Raton, FL 33433-7056
Mailing Address6853 Sw 18th St Ste M111Boca Raton, FL 33433-7056 · (561) 617-7996 · Fax (561) 228-0318
Phone(561) 617-7996
Fax(561) 228-0318
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 5, 2006
Last NPPES UpdateJune 7, 20235 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1003864638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in FL · OS8222
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
6853 SW 18TH ST STE M111, Boca Raton, FL 33433
Open in Google Maps ↗

Other Identifiers 1

Medicaid260076500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen M. Swirsky Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911947296
PECOS Enrollment IDI20050505000707
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

30.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality6.06
Promoting Interoperability0
Improvement Activities20
Cost57.9

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DREW STEIN MD PLLC
Orthopaedic Surgery (Sports Medicine)
6853 SW 18TH ST STE M111
BOCA RATON, FL 33433
Palm Beach County (561) 617-7996
DR. DREW A STEIN M.D.
Orthopaedic Surgery (Sports Medicine)
6853 SW 18TH ST STE M111
BOCA RATON, FL 33433
Palm Beach County (561) 617-7996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Swirsky's NPI number?

The NPI number for Stephen Swirsky is 1003864638. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Stephen Swirsky located?

Stephen Swirsky practices at 6853 SW 18th St Ste M111, Boca Raton, FL 33433. The listed phone number is (561) 617-7996.

What is Stephen Swirsky's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Stephen Swirsky enrolled in Medicare?

Yes. Stephen Swirsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephen Swirsky accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Stephen Swirsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen Swirsky was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.