DR. MICHAEL SWARTZON MD
NPI 1164650016
Family Medicine - Sports Medicine in Coral Gables, FL

Q: What is Michael Swartzon's NPI number?

The NPI number for Michael Swartzon is 1164650016. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Q: What is Michael Swartzon's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Michael Swartzon was last updated on February 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment

99.93/100

CMS Quality Rating

1150 CAMPO SANO AVE, CORAL GABLES, FL 33146(786) 268-6200(786) 533-9977 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2022, Nov 5, 2019 (2 updates tracked since 2019).

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About Dr. Michael Swartzon Md NPPES

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

DR. MICHAEL SWARTZON MD (NPI 1164650016) is an individual sports medicine provider in Coral Gables, Florida, licensed in Florida (ME111089) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164650016

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. MICHAEL SWARTZONCredential: MD

Location Address1150 CAMPO SANO AVECoral Gables, FL 33146-1174

Mailing AddressPo Box 100905Atlanta, GA 30384-0905

Phone(786) 268-6200

Fax(786) 533-9977

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJune 30, 2009

Last NPPES UpdateFebruary 7, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2022

✔ NPI 1164650016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in FL · ME111089

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1150 CAMPO SANO AVE, Coral Gables, FL 33146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.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. Michael Swartzon 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 ID4486811064

PECOS Enrollment IDI20130924000444

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 18

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.

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304

Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.

2,433 services25 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.

202 services140 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

187 services89 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.

158 services110 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.

126 services126 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

119 services93 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

65 services51 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

62 services61 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

51 services42 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

47 services31 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.

35 services35 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

32 services25 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

31 services28 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

24 services18 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

19 services15 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

16 services13 patients

Aspiration and/or injection of fluid from medium joint using ultrasound guidance 20606

This is a procedure where a needle is guided by ultrasound into a medium-sized joint, like a knee or shoulder. The needle can be used to remove fluid, which can relieve pressure and pain, or to inject medication to help with inflammation and discomfort.

15 services13 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100296

Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

99.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.3

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1851

DME-Orthotic Devices · category DF011N

1 supplier13 claims13 services$576.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ALEXANDER DAVID JOHN SELSKY DO

Orthopaedic Surgery

1150 CAMPO SANO AVE
CORAL GABLES, FL 33146

Miami-Dade County (786) 268-6200

JENNIFER KANTOR

Specialist/Technologist (Athletic Trainer)

1150 CAMPO SANO AVE, SUITE 200
CORAL GABLES, FL 33146

Miami-Dade County (786) 268-6200

TAYLOR R POTTER ATC

Specialist/Technologist (Athletic Trainer)

1150 CAMPO SANO AVE
CORAL GABLES, FL 33146

Miami-Dade County (786) 268-6200

TANYA MENDES CRUZ PA-C

Physician Assistant

1150 CAMPO SANO AVE
CORAL GABLES, FL 33146

Miami-Dade County (786) 268-6200

JORGE DAVID PEREZ D'ERAMO PA-C

Physician Assistant

1150 CAMPO SANO AVE
CORAL GABLES, FL 33146

Miami-Dade County (786) 268-6200

MR. JOSE MANUEL RODRIGUEZ-LEIVA APRN, FNP-BC, NP-C.

Nurse Practitioner (Family)

1150 CAMPO SANO AVE
CORAL GABLES, FL 33146

Miami-Dade County (786) 268-6200

MRS. EMILY E YOUSHAK LAT, ATC, CSCS

Specialist/Technologist (Athletic Trainer)

1150 CAMPO SANO AVE
CORAL GABLES, FL 33146

Miami-Dade County (786) 268-6200

RICHARD A WHITTINGTON MD PA

Internal Medicine (Geriatric Medicine)

1150 CAMPO SANO AVE, SUITE 410
CORAL GABLES, FL 33146

Miami-Dade County (305) 668-2181

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 Michael Swartzon's NPI number?

The NPI number for Michael Swartzon is 1164650016. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Michael Swartzon located?

Michael Swartzon practices at 1150 Campo Sano Ave, Coral Gables, FL 33146. The listed phone number is (786) 268-6200.

What is Michael Swartzon's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Michael Swartzon enrolled in Medicare?

Yes. Michael Swartzon 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 Michael Swartzon accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Michael Swartzon 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 Michael Swartzon affiliated with any hospitals?

According to CMS data, Michael Swartzon is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Michael Swartzon was last updated on February 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.