ANDREW P SWAN MD
NPI 1205873163
Ophthalmology in Hamden, CT

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
83.42/100
CMS Quality Rating
2880 OLD DIXWELL AVE, HAMDEN, CT 06518(203) 248-6365(203) 281-2742 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew P Swan Md NPPES

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

ANDREW P SWAN MD (NPI 1205873163) is an individual ophthalmology provider in Hamden, Connecticut, licensed in Connecticut (044198) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2002).

NPPES Registry Identity

NPI1205873163
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameANDREW P SWANCredential: MD
Location Address2880 OLD DIXWELL AVEHamden, CT 06518-3144
Mailing Address2880 Old Dixwell AveHamden, CT 06518-3144 · (203) 248-6365 · Fax (203) 281-2742
Fax(203) 281-2742
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2002
Enumeration DateJune 1, 2006
Last NPPES UpdateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
NPI 1205873163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CT · 044198
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2880 OLD DIXWELL AVE, Hamden, CT 06518

Other Identifiers 1

Other044198CT · Med Ctlic

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

Andrew P Swan 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 ID9537172663
PECOS Enrollment IDI20060713000129
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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
986 services938 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
340 services320 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
296 services237 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
264 services215 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
179 services170 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
131 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06518 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

83.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.13
Promoting Interoperability75
Improvement Activities40
Cost74.44

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
100%132 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
100%765 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
97%288 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
98%361 patients
Provide Patients Electronic Access to Their Health Information
62%1,735 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 3,649 patients
Patients totalRate: 0% · 3,649 patients
0%3,649 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

Dentist (Orthodontics and Dentofacial Orthopedics)
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
Ophthalmology
2880 OLD DIXWELL AVE, EYE CENTER OF SOUTHERN CONNECTICUT
HAMDEN, CT 06518
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
Ophthalmology
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
Optometrist
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
Optometrist
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
Ophthalmology
2880 OLD DIXWELL AVE
HAMDEN, CT 06518
Ophthalmology
2880 OLD DIXWELL AVE
HAMDEN, CT 06518

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 Andrew Swan's NPI number?

The NPI number for Andrew Swan is 1205873163. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Andrew Swan located?

Andrew Swan practices at 2880 Old Dixwell Ave, Hamden, CT 06518. The listed phone number is (203) 248-6365.

What is Andrew Swan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Andrew Swan enrolled in Medicare?

Yes. Andrew Swan 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.

When was this NPI record last updated?

The NPPES record for Andrew Swan was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.