DR. ALEX R SCHWEGMAN MD
NPI 1093240533
Internal Medicine - Pulmonary Disease in Coon Rapids, MN

Active since April 21, 2017PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(763) 780-9155 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2024, Sep 7, 2023, May 1, 2023 and 3 more (6 updates tracked since 2017).

About Dr. Alex R Schwegman Md NPPES

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

DR. ALEX R SCHWEGMAN MD (NPI 1093240533) is an individual pulmonary disease provider in Coon Rapids, Minnesota, licensed in Minnesota (64183) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Cambridge Medical Center, and is a graduate of University Of Minnesota Medical School (2017).

NPPES Registry Identity

NPI1093240533
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ALEX R SCHWEGMANCredential: MD
Location Address9055 SPRINGBROOK DR NWCoon Rapids, MN 55433-5841
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2017
Enumeration DateApril 21, 2017
Last NPPES UpdateMarch 5, 20246 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
NPI 1093240533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MN · 64183
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 64183 (MN)
9055 SPRINGBROOK DR NW, Coon Rapids, MN 55433

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

Dr. Alex R Schwegman 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.

PECOS PAC ID3779855358
PECOS Enrollment IDI20180802000977
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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
85 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services34 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.
50 services43 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
44 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Cambridge Medical Center

Acute Care Hospitals · Cambridge, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240020
Location701 South Dellwood AvenueCambridge, MN 55008 · Isanti County
Emergency services

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Buffalo Hospital

Acute Care Hospitals · Buffalo, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240076
Location303 Catlin StreetBuffalo, MN 55313 · Wright County
Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Social Worker (Clinical)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Psychiatry & Neurology (Pain Medicine)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Psychologist (Clinical)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Audiologist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Physical Therapist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Internal Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Dietitian, Registered
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433

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 Alex Schwegman's NPI number?

The NPI number for Alex Schwegman is 1093240533. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Alex Schwegman located?

Alex Schwegman practices at 9055 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 780-9155.

What is Alex Schwegman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Alex Schwegman enrolled in Medicare?

Yes. Alex Schwegman 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 Alex Schwegman accept?

Health plans from HealthPartners and Medica list Alex Schwegman 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 Alex Schwegman affiliated with any hospitals?

According to CMS data, Alex Schwegman is affiliated with Cambridge Medical Center, Abbott Northwestern Hospital, Buffalo Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Alex Schwegman was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.