HILEL SWERDLIN MD
NPI 1265529853
Otolaryngology in Kenosha, WI

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
6127 GREEN BAY RD, SUITE 100, KENOSHA, WI 53142(262) 652-2887(262) 652-0547 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2021, Sep 1, 2016 (2 updates tracked since 2016).

About Hilel Swerdlin Md NPPES

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

HILEL SWERDLIN MD (NPI 1265529853) is an individual otolaryngology provider in Kenosha, Wisconsin, licensed in Wisconsin (38645) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Mcgill University, Faculty Of Medicine (1995).

NPPES Registry Identity

NPI1265529853
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameHILEL SWERDLINCredential: MD
Location Address6127 GREEN BAY RD, SUITE 100Kenosha, WI 53142-2946
Mailing Address6127 Green Bay Rd, Suite 100Kenosha, WI 53142-2946 · (262) 652-2887 · Fax (262) 652-0547
Fax(262) 652-0547
Sole ProprietorYes
Medical School CMSMcgill University, Faculty Of MedicineGraduated 1995
Enumeration DateOctober 6, 2006
Last NPPES UpdateMarch 9, 20212 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
NPI 1265529853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in WI · 38645
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
6127 GREEN BAY RD, Kenosha, WI 53142

Other Identifiers 1

Medicaid32321800WI

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

Hilel Swerdlin 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 ID3375534340
PECOS Enrollment IDI20120220000996, I20210309001169
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 11

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,344 services28 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
54 services54 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.
44 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
27 services27 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
23 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$75.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers13 claims35 services$26.69 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers16 claims16 services$47.49 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers17 claims17 services$15.93 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers18 claims18 services$10.26 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers20 claims109 services$1.70 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 5

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

Internal Medicine
6127 GREEN BAY RD, #200
KENOSHA, WI 53142
Family Medicine
6127 GREEN BAY RD, SUITE 200
KENOSHA, WI 53142
Obstetrics & Gynecology
6127 GREEN BAY RD, SUITE 200A
KENOSHA, WI 53142
Otolaryngology
6127 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142
Obstetrics & Gynecology
6127 GREEN BAY RD, SUITE 200A
KENOSHA, WI 53142

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 Hilel Swerdlin's NPI number?

The NPI number for Hilel Swerdlin is 1265529853. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Hilel Swerdlin located?

Hilel Swerdlin practices at 6127 Green Bay Rd Suite 100, Kenosha, WI 53142. The listed phone number is (262) 652-2887.

What is Hilel Swerdlin's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Hilel Swerdlin enrolled in Medicare?

Yes. Hilel Swerdlin 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 Hilel Swerdlin accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Hilel Swerdlin 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 Hilel Swerdlin was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.