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DR. RONALD S. SWARTZ M.D.
NPI 1124126594
Urology in New Orleans, LA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
3434 PRYTANIA ST., SUITE 450, NEW ORLEANS, LA 70115(504) 897-7711(504) 897-7998 Get Directions Write a Review

NPPES record last updated: December 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ronald S. Swartz M.d. NPPES

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

DR. RONALD S. SWARTZ M.D. (NPI 1124126594) is an individual urology provider in New Orleans, Louisiana, licensed in Louisiana (MD.010998) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Touro Infirmary, and is a graduate of Tulane University School Of Medicine (1968).

NPPES Registry Identity

NPI1124126594
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. RONALD S. SWARTZCredential: M.D.
Location Address3434 PRYTANIA ST., SUITE 450New Orleans, LA 70115-3575
Mailing Address3600 Prytania St Ste 35, Crescent City Physicians, Inc.New Orleans, LA 70115-3678 · (504) 897-8412 · Fax (504) 249-5311
Phone(504) 897-7711
Fax(504) 897-7998
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1968
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 15, 2016
✔ NPI 1124126594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in LA · MD.010998✔ Licensed in LA · 010998
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3434 PRYTANIA ST., New Orleans, LA 70115
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Other Identifiers 4

Medicaid1198846LA
Medicare UPINB61162
Medicare PIN5L011B62LA
Medicare UPINB61162LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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. Ronald S. Swartz 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 ID6002947066
PECOS Enrollment IDI20100720000307
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 4

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.
41 services37 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 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services24 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.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70115 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers18 claims6,975 services$1.53 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims14 services$9.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

ROBERT L APPLEBAUM MD
Neurological Surgery
3434 PRYTANIA ST., SUITE 230
NEW ORLEANS, LA 70115
Orleans Parish (504) 340-6976
MR. KEVIN RANDALL KIRCHNER M.D.
Ophthalmology
3434 PRYTANIA ST., SUITE 250
NEW ORLEANS, LA 70115
Orleans Parish (504) 891-1988

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 Ronald Swartz's NPI number?

The NPI number for Ronald Swartz is 1124126594. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Ronald Swartz located?

Ronald Swartz practices at 3434 Prytania St. Suite 450, New Orleans, LA 70115. The listed phone number is (504) 897-7711.

What is Ronald Swartz's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Ronald Swartz enrolled in Medicare?

Yes. Ronald Swartz 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 Ronald Swartz accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Ronald Swartz 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 Ronald Swartz affiliated with any hospitals?

According to CMS data, Ronald Swartz is affiliated with Touro Infirmary.

When was this NPI record last updated?

The NPPES record for Ronald Swartz was last updated on December 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.