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DR. MARK EDWARD SWETZ M.D.
NPI 1013918879
Family Medicine in Orchard Park, NY

Active since August 02, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 33D1033583 · Waiver
3065 SOUTHWESTERN BLVD, SUITE 206, ORCHARD PARK, NY 14127(716) 674-1414(716) 674-1473 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Edward Swetz M.d. NPPES

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

DR. MARK EDWARD SWETZ M.D. (NPI 1013918879) is an individual family medicine provider in Orchard Park, New York, licensed in New York (194104) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 11, 2026, and is affiliated with Kaleida Health.

NPPES Registry Identity

NPI1013918879
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK EDWARD SWETZCredential: M.D.
Location Address3065 SOUTHWESTERN BLVD, SUITE 206Orchard Park, NY 14127-1239
Mailing Address3065 Southwestern Blvd, Suite 206Orchard Park, NY 14127-1239 · (716) 674-1414 · Fax (716) 674-1473
Phone(716) 674-1414
Fax(716) 674-1473
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1992
Enumeration DateAugust 2, 2005
Last NPPES UpdateMay 19, 2023
NPPES CertifiedMay 19, 2023
✔ NPI 1013918879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 194104
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3065 SOUTHWESTERN BLVD, Orchard Park, NY 14127
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Other Identifiers 9

OtherP00175635NY · Railroad Medicare
Other3787523NY · Aetna
Other00010176002NY · Univera
Other608008800NY · Wc U.s. Dept. Of Labor
Other5904267NY · Ghi
Other352240675NY · United Healthcare
Other000523769002Bc Bs Of Wny
Other0107477Iha
Other194104-6NY · Workers Comp

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. Mark Edward Swetz M.d. 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 ID2264499060
PECOS Enrollment IDI20041216000112
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1033583

Mark E Swetz MD PC · Orchard Park, NY
Active · expires Nov 11, 2026
CLIA Number33D1033583
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorMark E. Swetz
Laboratory Phone(716) 674-1414
Laboratory LocationMark E Swetz MD PC3065 Southwestern Boulevard, Suite 206, Orchard Park, NY 14127
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
244 services18 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.
215 services111 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
141 services141 patients
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.
107 services66 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
18 services14 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Olean General Hospital

Acute Care Hospitals · Olean, NY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number330103
Location515 Main StreetOlean, NY 14760 · Cattaraugus County
Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims39 services$6.60 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims16 services$1.06 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers17 claims17 services$33.50 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers13 claims72 services$16.46 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers13 claims13 services$43.44 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers15 claims15 services$15.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DR. RONALD PAUL EMERSON JR. M.D., F.A.C.C.
Internal Medicine (Cardiovascular Disease)
3065 SOUTHWESTERN BLVD, SUITE 202
ORCHARD PARK, NY 14127
Erie County (716) 677-5866
MISS LAURA B RIDGE RPA-C
Physician Assistant (Medical)
3065 SOUTHWESTERN BLVD, STE 104
ORCHARD PARK, NY 14127
Erie County (716) 677-3065
DAVID P KOWALSKI MD FAMILY PRACTICE PLLC
Family Medicine
3065 SOUTHWESTERN BLVD, STE 104
ORCHARD PARK, NY 14127
Erie County (716) 677-3065
MARK E SWETZ MD,PC
Family Medicine
3065 SOUTHWESTERN BLVD, SUITE 206
ORCHARD PARK, NY 14127
Erie County (716) 674-1414
ELAINE M LOPEZ FNP
Nurse Practitioner (Family)
3065 SOUTHWESTERN BLVD, STE 100
ORCHARD PARK, NY 14127
Erie County (716) 677-9220
MR. KARL THOMAS SMILEY DPT
Physical Therapist
3065 SOUTHWESTERN BLVD, #108
ORCHARD PARK, NY 14127
Erie County (716) 608-6730
SOUTHTOWNS GASTROENTEROLOGY, PLLC
Internal Medicine (Gastroenterology)
3065 SOUTHWESTERN BLVD, STE 100
ORCHARD PARK, NY 14127
Erie County (716) 677-9220
PETER ACCETTA, M.D.
Dermatology
3065 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Erie County (716) 675-7000

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 Mark Swetz's NPI number?

The NPI number for Mark Swetz is 1013918879. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Mark Swetz located?

Mark Swetz practices at 3065 Southwestern Blvd Suite 206, Orchard Park, NY 14127. The listed phone number is (716) 674-1414.

What is Mark Swetz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Swetz enrolled in Medicare?

Yes. Mark Swetz 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.

Does Mark Swetz hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1033583) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Mark Swetz affiliated with any hospitals?

According to CMS data, Mark Swetz is affiliated with Kaleida Health, Sisters Of Charity Hospital, Olean General Hospital and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Mark Swetz was last updated on May 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.