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MR. THOMAS JAMES SWANSON M.D.
NPI 1235456674
Emergency Medicine in Edmonds, WA

Active since April 26, 2010PECOS EnrolledAccepts Medicare Assignment
21601 76TH AVE W, EDMONDS, WA 98026(425) 640-4000 Get Directions Write a Review

NPPES record last updated: July 24, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Thomas James Swanson M.d. NPPES

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

MR. THOMAS JAMES SWANSON M.D. (NPI 1235456674) is an individual emergency medicine provider in Edmonds, Washington, licensed in Illinois (036134594) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2010).

NPPES Registry Identity

NPI1235456674
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. THOMAS JAMES SWANSONCredential: M.D.
Location Address21601 76TH AVE WEdmonds, WA 98026-7507
Mailing Address5343 Tallman Ave Nw, Apt 525Seattle, WA 98107-3931 · (650) 279-2996
Phone(425) 640-4000
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2010
Enumeration DateApril 26, 2010
Last NPPES UpdateJuly 24, 2016
✔ NPI 1235456674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036134594
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
21601 76TH AVE W, Edmonds, WA 98026
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas James Swanson 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 ID8527283670
PECOS Enrollment IDI20160708002029
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Swanson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America LLC
Same address
Emergency Medicine
21601 76TH AVE W
Edmonds, WA 98026
  • Reassigned Medicare billing, Washington enrollment
  • 106 clinicians in this Medicare group
NPI 1447484274 (425) 640-4000
Swedish Health Services
13 mi
Family Medicine
1600 7TH AVE STE 110
Seattle, WA 98101
  • Reassigned Medicare billing, Washington enrollment
  • 663 clinicians in this Medicare group
NPI 1073553947 (206) 267-4390

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
187 services185 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
107 services97 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

BARBARA R FAYETTE PA C
Physician Assistant
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4000
ALEXANDER C CHUNG MD
Hospitalist
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4000
PHD#2 OF SNOHOMISH COUNTY
Psychiatric Unit
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4000
CARISSA RENEE KONO PT
Physical Therapist
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4145
SWEDISH EDMONDS
General Acute Care Hospital
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4000
DR. JAMES FREDERICK BARTSCHER MD
Psychiatry & Neurology (Neurocritical Care)
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (206) 215-2520
JENNIFER N KWOK PHARM.D.
Pharmacist
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4180
SWEDISH EDMONDS
Psychiatry & Neurology (Psychiatry)
21601 76TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 640-4000

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 Thomas Swanson's NPI number?

The NPI number for Thomas Swanson is 1235456674. It was assigned to this individual provider in the NPPES registry on April 26, 2010.

Where is Thomas Swanson located?

Thomas Swanson practices at 21601 76th Ave W, Edmonds, WA 98026. The listed phone number is (425) 640-4000.

What is Thomas Swanson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Swanson enrolled in Medicare?

Yes. Thomas Swanson 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.

Which organizations bill Medicare for Thomas Swanson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Swanson reassigns Medicare benefits to 2 organizations: Cep America LLC (Edmonds, WA) and Swedish Health Services (Seattle, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Swanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Swanson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Thomas Swanson 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 Thomas Swanson affiliated with any hospitals?

According to CMS data, Thomas Swanson is affiliated with Swedish Edmonds Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Swanson was last updated on July 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.