MEGAN SWANSON M.D.
NPI 1073802310
Obstetrics & Gynecology in San Francisco, CA

Active since April 06, 2011PECOS EnrolledAccepts Medicare Assignment
91.85/100
CMS Quality Rating
1600 DIVISADERO ST, SAN FRANCISCO, CA 94143(415) 206-4069 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Megan Swanson M.d. NPPES

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

MEGAN SWANSON M.D. (NPI 1073802310) is an individual obstetrics & gynecology provider in San Francisco, California, licensed in California (A124462) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of University Of California, San Francisco School Of Medicine (2011).

NPPES Registry Identity

NPI1073802310
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMEGAN SWANSONCredential: M.D.
Location Address1600 DIVISADERO STSan Francisco, CA 94143-3010
Mailing Address1600 Divisadero StSan Francisco, CA 94143-3010 · (415) 206-4069
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2011
Enumeration DateApril 6, 2011
Last NPPES UpdateMarch 12, 2021
NPPES CertifiedMarch 12, 2021
NPI 1073802310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · A124462
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1600 DIVISADERO ST, San Francisco, CA 94143

Secondary Practice Location 1

Location 11001 Potrero Ave # 6D, SFGH OB/GYNSan Francisco, CA 94110-3518 · Phone (415) 206-4069

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

Megan Swanson 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 ID1456576073
PECOS Enrollment IDI20190831000170
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 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services32 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.
38 services33 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.
34 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

91.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.53
Promoting Interoperability100
Improvement Activities40
Cost68.01

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.

Anesthesiology
1600 DIVISADERO ST
SAN FRANCISCO, CA 94143
Internal Medicine
1600 DIVISADERO ST
SAN FRANCISCO, CA 94143
Physical Therapy Assistant
1600 DIVISADERO ST
SAN FRANCISCO, CA 94143
Psychiatry & Neurology (Psychiatry)
1600 DIVISADERO ST
SAN FRANCISCO, CA 94143
Radiology (Diagnostic Radiology)
1600 DIVISADERO ST
SAN FRANCISCO, CA 94143
Nurse Practitioner
1600 DIVISADERO ST, 4TH FLOOR
SAN FRANCISCO, CA 94143
Genetic Counselor, MS
1600 DIVISADERO ST, 4TH FLOOR BOX 1774
SAN FRANCISCO, CA 94143
Radiology (Diagnostic Radiology)
1600 DIVISADERO ST
SAN FRANCISCO, CA 94143

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 Megan Swanson's NPI number?

The NPI number for Megan Swanson is 1073802310. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Megan Swanson located?

Megan Swanson practices at 1600 Divisadero St, San Francisco, CA 94143. The listed phone number is (415) 206-4069.

What is Megan Swanson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Megan Swanson enrolled in Medicare?

Yes. Megan Swanson 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.

When was this NPI record last updated?

The NPPES record for Megan Swanson was last updated on March 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.