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ELISE MARIE SWANSON O.D.
NPI 1083048995
Optometrist in Santa Barbara, CA

Active since August 27, 2013PECOS EnrolledAccepts Medicare Assignment
3916 STATE ST STE 1C, SANTA BARBARA, CA 93105(805) 681-8980 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elise Marie Swanson O.d. NPPES

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

ELISE MARIE SWANSON O.D. (NPI 1083048995) is an individual optometrist in Santa Barbara, California, licensed in California (14663) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083048995
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameELISE MARIE SWANSONCredential: O.D.
Location Address3916 STATE ST STE 1CSanta Barbara, CA 93105-5602
Mailing AddressPo Box 62106Santa Barbara, CA 93160-2106 · (805) 681-1760
Phone(805) 681-8980
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 27, 2013
Last NPPES UpdateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
✔ NPI 1083048995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 14663
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3916 STATE ST STE 1C, Santa Barbara, CA 93105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elise Marie Swanson O.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 ID5496074429
PECOS Enrollment IDI20150424001396
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elise Swanson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sansum Clinic
0.4 mi
Multi-Specialty
215 PESETAS LN
Santa Barbara, CA 93110
  • Reassigned Medicare billing, California enrollment
  • 403 clinicians in this Medicare group
NPI 1154354504 (805) 681-1760
County Of Ventura
28 mi
Federally Qualified Health Center (FQHC)
133 W. SANTA CLARA
Ventura, CA 93001
  • Reassigned Medicare billing, California enrollment
  • 710 clinicians in this Medicare group
NPI 1780821660 (805) 641-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
142 services142 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
126 services126 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.
100 services80 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.
66 services59 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.
42 services42 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93105 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
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$76.76 typical visit price
range $20.60 – $151.20
Typical copayment $19.19 (range $5.15 – $37.80)
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.

Other Providers at the Same Location NPPES

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

DR. COURTNEY MISAYE CHING OD
Optometrist
3916 STATE ST STE 1C
SANTA BARBARA, CA 93105
Santa Barbara County (805) 681-8980

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 Elise Swanson's NPI number?

The NPI number for Elise Swanson is 1083048995. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Where is Elise Swanson located?

Elise Swanson practices at 3916 State St Ste 1C, Santa Barbara, CA 93105. The listed phone number is (805) 681-8980.

What is Elise Swanson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Elise Swanson enrolled in Medicare?

Yes. Elise 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.

Which organizations bill Medicare for Elise Swanson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Swanson reassigns Medicare benefits to 2 organizations: Sansum Clinic (Santa Barbara, CA) and County Of Ventura (Ventura, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elise Swanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elise Swanson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Elise Swanson 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.

When was this NPI record last updated?

The NPPES record for Elise Swanson was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.