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ERICA E.S. SWENSON MD
NPI 1235660812
Pediatrics in Madison, WI

Active since March 24, 2017PECOS Enrolled
4410 REGENT ST, MADISON, WI 53705(608) 233-9746(608) 233-0026 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Jun 25, 2020, Mar 24, 2017 (3 updates tracked since 2017).

About Erica E.s. Swenson Md NPPES

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

ERICA E.S. SWENSON MD (NPI 1235660812) is an individual pediatrics provider in Madison, Wisconsin, licensed in Ohio (35.139184) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235660812
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameERICA E.S. SWENSONCredential: MD
Location Address4410 REGENT STMadison, WI 53705-4901
Mailing Address905 Main StMilford, OH 45150-5049 · (513) 248-1210
Phone(608) 233-9746
Fax(608) 233-0026
Sole ProprietorNo
Enumeration DateMarch 24, 2017
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1235660812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.139184
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4410 REGENT ST, Madison, WI 53705
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1905 Main StMilford, OH 45150-5049 · Phone (513) 248-1210 · Fax (513) 248-3065
Location 24000 Smith Rd Ste 175Cincinnati, OH 45209-1968 · Phone (513) 533-6100 · Fax (513) 533-6105

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erica E.s. Swenson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53705 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

DR. ELMA O SIA M.D.
Pediatrics
4410 REGENT ST
MADISON, WI 53705
Dane County (608) 233-9746
AMY L FOTHERGILL M.D.
Internal Medicine
4410 REGENT ST, ASSOCIATED PHYSICIANS, LLP
MADISON, WI 53705
Dane County (608) 233-9746
LESLIE M RIOPEL M.D.
Pediatrics
4410 REGENT ST, ASSOCIATED PHYSICIANS, LLP
MADISON, WI 53705
Dane County (608) 233-9746
PUNEET S DHILLON M.D.
Internal Medicine
4410 REGENT ST
MADISON, WI 53705
Dane County (608) 233-9746
KAYLA LAUREN MOSES PA-C
Physician Assistant
4410 REGENT ST
MADISON, WI 53705
Dane County (608) 233-9746
DR. THOMAS S HYZER M.D.
Internal Medicine
4410 REGENT ST
MADISON, WI 53705
Dane County (608) 233-9746
FRANCES R RYAN MD
Internal Medicine
4410 REGENT ST, ASSOCIATED PHYSICIANS, LLP
MADISON, WI 53705
Dane County (608) 233-9746
ZOE LOUISE RAMMELKAMP MD
Internal Medicine
4410 REGENT ST
MADISON, WI 53705
Dane County (612) 626-5454

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 Erica Swenson's NPI number?

The NPI number for Erica Swenson is 1235660812. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Erica Swenson located?

Erica Swenson practices at 4410 Regent St, Madison, WI 53705. The listed phone number is (608) 233-9746.

What is Erica Swenson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Erica Swenson enrolled in Medicare?

Yes. Erica Swenson is registered in the Medicare PECOS enrollment system.

What insurance does Erica Swenson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Quartz list Erica Swenson 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 Erica Swenson was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.