KAREN C SWALLEN MD
NPI 1023242831
Hospitalist in Baraboo, WI
About Karen C Swallen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN C SWALLEN MD (NPI 1023242831) is an individual hospitalist provider in Baraboo, Wisconsin, licensed in Wisconsin (55345-20) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and is a graduate of University Of Wisconsin School Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses 2
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Other Identifiers 1
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
Karen C Swallen 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Clare Hospital - Baraboo
Acute Care Hospitals · Baraboo, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BARABOO, WI 53913
BARABOO, WI 53913
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 Karen Swallen's NPI number?
The NPI number for Karen Swallen is 1023242831. It was assigned to this individual provider in the NPPES registry on May 7, 2009.
Where is Karen Swallen located?
Karen Swallen practices at 707 14th St, Baraboo, WI 53913. The listed phone number is (608) 356-1400.
What is Karen Swallen's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Karen Swallen enrolled in Medicare?
Yes. Karen Swallen 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 Karen Swallen accept?
Health plans from Anthem Blue Cross and Blue Shield list Karen Swallen 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 Karen Swallen affiliated with any hospitals?
According to CMS data, Karen Swallen is affiliated with Ssm Health St Clare Hospital - Baraboo.
When was this NPI record last updated?
The NPPES record for Karen Swallen was last updated on March 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
