ERIC SWANSON MD
NPI 1205462249
Internal Medicine in Cambridge, MA

Q: What is Eric Swanson's NPI number?

The NPI number for Eric Swanson is 1205462249. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Q: What is Eric 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 Eric Swanson was last updated on July 6, 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 March 22, 2020PECOS EnrolledAccepts Medicare Assignment

86.26/100

CMS Quality Rating

1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139(617) 665-1000 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Jun 20, 2020, Mar 22, 2020 (3 updates tracked since 2020).

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About Eric Swanson Md NPPES

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

ERIC SWANSON MD (NPI 1205462249) is an individual internal medicine provider in Cambridge, Massachusetts, licensed in Massachusetts (1013792) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Tufts University School Of Medicine (2020).

NPPES Registry Identity

NPI1205462249

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameERIC SWANSONCredential: MD

Location Address1493 CAMBRIDGE STCambridge, MA 02139-1099

Mailing Address1493 Cambridge StCambridge, MA 02139-1099 · (617) 665-1000

Phone(617) 665-1000

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2020

Enumeration DateMarch 22, 2020

Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration

NPPES CertifiedJuly 6, 2023

✔ NPI 1205462249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MA · 1013792✔ Licensed in IL · 125.075472

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

1493 CAMBRIDGE ST, Cambridge, MA 02139

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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.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

Eric 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 ID4183047277

PECOS Enrollment IDI20230927002161

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 2

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 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.

114 services77 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.

110 services80 patients

Hospital Affiliations CMS Care Compare 2

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number220011

Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County

Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220086

Location330 Brookline AvenueBoston, MA 02215 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02139 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

86.26/100

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

Scored as part of a group practice

Quality

78.84

Promoting Interoperability

100

Improvement Activities

Cost

58.7

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.

ZACHARY OLIFF DO

Emergency Medicine