PETER R SWIATEK MD
NPI 1013411412
Orthopaedic Surgery in Carmel, IN

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
92.09/100
CMS Quality Rating
13225 N MERIDIAN ST, CARMEL, IN 46032(173) 228-7000(317) 228-2321 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 26, 2024, Aug 1, 2024, Apr 29, 2024 and 3 more (6 updates tracked since 2018).

About Peter R Swiatek Md NPPES

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

PETER R SWIATEK MD (NPI 1013411412) is an individual orthopaedic surgery provider in Carmel, Indiana, licensed in Indiana (01093448A) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of University Of Michigan Medical School (2018).

NPPES Registry Identity

NPI1013411412
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePETER R SWIATEKCredential: MD
Location Address13225 N MERIDIAN STCarmel, IN 46032-5480
Mailing Address13225 N Meridian StCarmel, IN 46032-5480 · (317) 715-4863 · Fax (317) 795-2047
Fax(317) 228-2321
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateSeptember 26, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
NPI 1013411412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in IN · 01093448A Licensed in PA · MD480443 Licensed in NJ · 25MA11730400
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 01093448A (IN)
13225 N MERIDIAN ST, Carmel, IN 46032

Accepted 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

Peter R Swiatek Md 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 ID4981940491
PECOS Enrollment IDI20240603001224
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 11

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.

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
47 services27 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
25 services16 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
25 services25 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Riverview Health

Acute Care Hospitals · Noblesville, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150059
Location395 Westfield RdNoblesville, IN 46060 · Hamilton County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Carmel

Acute Care Hospitals · Carmel, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150157
Location13500 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Orthoindy Hospital

Acute Care Hospitals · Indianapolis, IN
OwnershipPhysician
CMS Certification Number150160
Location8400 Northwest BlvdIndianapolis, IN 46278 · Marion County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.6
Promoting Interoperability99
Improvement Activities40
Cost87.88

Other Providers at the Same Location NPPES 20

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

Physical Therapist (Orthopedic)
13225 N MERIDIAN ST
CARMEL, IN 46032
Nurse Practitioner (Acute Care)
13225 N MERIDIAN ST
CARMEL, IN 46032
Neurological Surgery
13225 N MERIDIAN ST
CARMEL, IN 46032
Pain Medicine (Pain Medicine)
13225 N MERIDIAN ST
CARMEL, IN 46032
Orthopaedic Surgery
13225 N MERIDIAN ST
CARMEL, IN 46032
Orthopaedic Surgery
13225 N MERIDIAN ST
CARMEL, IN 46032
Pain Medicine (Pain Medicine)
13225 N MERIDIAN ST
CARMEL, IN 46032
Chiropractor
13225 N MERIDIAN ST
CARMEL, IN 46032

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 Peter Swiatek's NPI number?

The NPI number for Peter Swiatek is 1013411412. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Peter Swiatek located?

Peter Swiatek practices at 13225 N Meridian St, Carmel, IN 46032. The listed phone number is (173) 228-7000.

What is Peter Swiatek's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Peter Swiatek enrolled in Medicare?

Yes. Peter Swiatek 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 Peter Swiatek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Peter Swiatek 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.

Is Peter Swiatek affiliated with any hospitals?

According to CMS data, Peter Swiatek is affiliated with Indiana University Health, Riverview Health, Ascension St Vincent Hospital, Ascension St Vincent Carmel and Orthoindy Hospital.

When was this NPI record last updated?

The NPPES record for Peter Swiatek was last updated on September 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.