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RUSSELL SWAN M.D.
NPI 1225304918
Ophthalmology in Bozeman, MT

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment
90.21/100
CMS Quality Rating
1925 N 22ND AVE STE 201, BOZEMAN, MT 59718(406) 219-0700 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2023, Jun 28, 2016 (2 updates tracked since 2016).

About Russell Swan M.d. NPPES

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

RUSSELL SWAN M.D. (NPI 1225304918) is an individual ophthalmology provider in Bozeman, Montana, licensed in South Dakota (9921) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (2012).

NPPES Registry Identity

NPI1225304918
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameRUSSELL SWANCredential: M.D.
Location Address1925 N 22ND AVE STE 201Bozeman, MT 59718-7020
Mailing Address3101 W 57th StSioux Falls, SD 57108-3162
Phone(406) 219-0700
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2012
Enumeration DateMarch 27, 2012
Last NPPES UpdateJune 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1225304918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in SD · 9921
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.
1925 N 22ND AVE STE 201, Bozeman, MT 59718
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Montana, Medica 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

Russell 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 ID2961634605
PECOS Enrollment IDI20180117000127
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 10

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.

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.
1,189 services638 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.
1,029 services562 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
125 services124 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
117 services117 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
96 services59 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
39 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59718 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

90.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.63
Promoting Interoperability98
Improvement Activities40
Cost77.42

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%1,843 patients
Diabetes: Eye Exam
100%78 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
97%627 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 541 patients
Patients screened: 100% · 541 patients
78%49 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%592 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 664 patients
Patients totalRate: 0% · 664 patients
0%664 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

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

TRAVIS K WHITT OD
Optometrist
1925 N 22ND AVE STE 201
BOZEMAN, MT 59718
Gallatin County (406) 219-0700

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 Russell Swan's NPI number?

The NPI number for Russell Swan is 1225304918. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Russell Swan located?

Russell Swan practices at 1925 N 22nd Ave Ste 201, Bozeman, MT 59718. The listed phone number is (406) 219-0700.

What is Russell Swan's specialty?

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

Is Russell Swan enrolled in Medicare?

Yes. Russell 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 Russell Swan accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Montana, Medica, Mountain Health CO-OP and Providence Health Plan and 1 other insurer list Russell 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.

When was this NPI record last updated?

The NPPES record for Russell Swan was last updated on June 19, 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.