KEVIN ROY SWAN M.D.
NPI 1215112578
Ophthalmology in Lafayette, LA

Active since January 07, 2008PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
214 SOUTHCITY PKWY STE 101, LAFAYETTE, LA 70503(337) 981-6430(337) 981-9134 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kevin Roy Swan M.d. NPPES

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

KEVIN ROY SWAN M.D. (NPI 1215112578) is an individual ophthalmology provider in Lafayette, Louisiana, licensed in Louisiana (MD.203713) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1215112578
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEVIN ROY SWANCredential: M.D.
Location Address214 SOUTHCITY PKWY STE 101Lafayette, LA 70503-5718
Mailing Address214 Southcity Pkwy Ste 101Lafayette, LA 70503-5718 · (337) 981-6430 · Fax (337) 981-9134
Fax(337) 981-9134
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 7, 2008
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
NPI 1215112578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in LA · MD.203713 Licensed in NC · 136354
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.
214 SOUTHCITY PKWY STE 101, Lafayette, LA 70503

Other Identifiers 10

Other1215112578LA · Blue Cross Blue Shield
Other1215112578LA · Ppo Plus
Other1215112578LA · American Lifecare
Other1215112578LA · Office Of Group Benefits
Other1215112578LA · Gilsbar 360
Other1215112578LA · Coventry
Other1215112578LA · United Healthcare
Other1215112578LA · Bestcare
Other1215112578LA · Verity
Other1215112578LA · Phcs

Accepted 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

Kevin Roy Swan 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 ID5991842437
PECOS Enrollment IDI20100713000582
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 14

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.

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.
900 services543 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
678 services412 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
411 services411 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.
411 services184 patients
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.
229 services221 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.
154 services144 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70503 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.33
Promoting Interoperability93
Improvement Activities40
Cost92.16

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%87 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,193 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
86%2,047 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
6 suppliers18 claims18 services$46.71 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers11 claims19 services$46.44 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
5 suppliers13 claims23 services$29.82 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 4

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

Ophthalmology
214 SOUTHCITY PKWY STE 101
LAFAYETTE, LA 70503
Ophthalmology
214 SOUTHCITY PKWY STE 101
LAFAYETTE, LA 70503
Optometrist
214 SOUTHCITY PKWY STE 101
LAFAYETTE, LA 70503
Ophthalmology
214 SOUTHCITY PKWY STE 101
LAFAYETTE, LA 70503

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 Kevin Swan's NPI number?

The NPI number for Kevin Swan is 1215112578. It was assigned to this individual provider in the NPPES registry on January 7, 2008.

Where is Kevin Swan located?

Kevin Swan practices at 214 Southcity Pkwy Ste 101, Lafayette, LA 70503. The listed phone number is (337) 981-6430.

What is Kevin Swan's specialty?

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

Is Kevin Swan enrolled in Medicare?

Yes. Kevin 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.

What insurance does Kevin Swan accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Kevin Swan 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 Kevin Swan affiliated with any hospitals?

According to CMS data, Kevin Swan is affiliated with Ochsner Lafayette General Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Swan was last updated on August 24, 2022. 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.