CHARLES SWANSON MD
NPI 1184112484
Internal Medicine in Chicago, IL

Q: What is Charles Swanson's NPI number?

The NPI number for Charles Swanson is 1184112484. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Q: What is Charles Swanson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Swanson was last updated on May 9, 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.

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment

93.62/100

CMS Quality Rating

1740 W TAYLOR ST, CHICAGO, IL 60612(866) 600-2273 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 9, 2023, Apr 23, 2018 (2 updates tracked since 2018).

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About Charles Swanson Md NPPES

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

CHARLES SWANSON MD (NPI 1184112484) is an individual internal medicine provider in Chicago, Illinois, licensed in Michigan (4301506310) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Hurley Medical Center, and is a graduate of Michigan State University College Of Human Medicine (2018).

NPPES Registry Identity

NPI1184112484

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCHARLES SWANSONCredential: MD

Location Address1740 W TAYLOR STChicago, IL 60612-7232

Mailing Address13328 Gorget DrSouth Lyon, MI 48178-9524 · (248) 303-2587

Phone(866) 600-2273

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2018

Enumeration DateApril 23, 2018

Last NPPES UpdateMay 9, 20232 updates tracked since enumeration

NPPES CertifiedMay 9, 2023

✔ NPI 1184112484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301506310

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 4301506310 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1740 W TAYLOR ST, Chicago, IL 60612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Charles Swanson 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 ID143579169

PECOS Enrollment IDI20220714001329

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 6

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

87 services28 patients

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.

77 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.

57 services49 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.

42 services39 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

30 services29 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

15 services13 patients

Hospital Affiliations CMS Care Compare

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

Hurley Medical Center

Acute Care Hospitals · Flint, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230132

LocationOne Hurley PlazaFlint, MI 48503 · Genesee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

93.62/100

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

Scored as part of a group practice

Quality

63.81

Promoting Interoperability

100

Improvement Activities

Cost

82.06

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.

MRS. CATHLEEN CONWAY JENSEN OTR/L

Occupational Therapist

1740 W TAYLOR ST, C100
CHICAGO, IL 60612

Cook County (312) 996-3700

KELLY M HOYERT PA-C

Physician Assistant (Surgical)

1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612

Cook County (312) 355-4300

DR. YI-LOONG COLIN WOON M.D.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)