SHANE MATTHEW SWANSON M.D.
NPI 1013923598
Family Medicine in Redding, CA

Active since August 01, 2006PECOS Enrolled
83.96/100
CMS Quality Rating
1093 HILLTOP DR, REDDING, CA 96003(530) 221-1565(530) 221-3912 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Jun 16, 2021, Nov 7, 2020 and 1 more (4 updates tracked since 2019).

About Shane Matthew Swanson M.d. NPPES

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

SHANE MATTHEW SWANSON M.D. (NPI 1013923598) is an individual family medicine provider in Redding, California, licensed in California (A86612) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Homeopathic Medicine - Nlg (2002).

NPPES Registry Identity

NPI1013923598
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHANE MATTHEW SWANSONCredential: M.D.
Location Address1093 HILLTOP DRRedding, CA 96003-3811
Mailing Address1093 Hilltop DrRedding, CA 96003-3811 · (530) 221-1565 · Fax (530) 221-3912
Fax(530) 221-3912
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Homeopathic Medicine - NlgGraduated 2002
Enumeration DateAugust 1, 2006
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
NPI 1013923598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A86612
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.

1093 HILLTOP DR, Redding, CA 96003

Other Identifiers 1

OtherZZZ11432ZCA · Group Medicare Ptan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shane Matthew Swanson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799705729
PECOS Enrollment IDI20051205000828
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 24

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.
598 services501 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.
252 services235 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.
224 services224 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
158 services79 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
138 services120 patients
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.
78 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96003 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

83.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.78
Promoting Interoperability100
Improvement Activities40
Cost56.15

Other Providers at the Same Location NPPES 9

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

Internal Medicine
1093 HILLTOP DR
REDDING, CA 96003
Physician Assistant
1093 HILLTOP DR
REDDING, CA 96003
Family Medicine
1093 HILLTOP DR
REDDING, CA 96003
Nurse Practitioner (Family)
1093 HILLTOP DR
REDDING, CA 96003
Clinic/Center
1093 HILLTOP DR
REDDING, CA 96003
Family Medicine
1093 HILLTOP DR
REDDING, CA 96003
Family Medicine
1093 HILLTOP DR
REDDING, CA 96003
Family Medicine
1093 HILLTOP DR
REDDING, CA 96003

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 Shane Swanson's NPI number?

The NPI number for Shane Swanson is 1013923598. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Shane Swanson located?

Shane Swanson practices at 1093 Hilltop Dr, Redding, CA 96003. The listed phone number is (530) 221-1565.

What is Shane Swanson's specialty?

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

Is Shane Swanson enrolled in Medicare?

Yes. Shane Swanson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Swanson was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.