EDINA SWARTZ MD
NPI 1265619720
Allergy & Immunology in Charlotte, NC

Active since January 28, 2008PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
4525 CAMERON VALLEY PKWY, STE 2100, CHARLOTTE, NC 28211(704) 355-5100 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2020, May 12, 2020, Apr 20, 2020 and 32 more (35 updates tracked since 2018).

About Edina Swartz Md NPPES

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

EDINA SWARTZ MD (NPI 1265619720) is an individual allergy & immunology provider in Charlotte, North Carolina, licensed in North Carolina (2009-01272) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265619720
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameEDINA SWARTZCredential: MD
Location Address4525 CAMERON VALLEY PKWY, STE 2100Charlotte, NC 28211-4369
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2002
Enumeration DateJanuary 28, 2008
Last NPPES UpdateJune 12, 202035 updates tracked since enumeration
NPI 1265619720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in NC · 2009-01272
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
4525 CAMERON VALLEY PKWY, Charlotte, NC 28211

Secondary Practice Locations 3

Location 11001 Blythe Blvd, STE 403Charlotte, NC 28203-5866 · Phone (704) 355-8850
Location 24525 Cameron Valley PkwyCharlotte, NC 28211-4369 · Phone (704) 355-5100
Location 34525 Cameron Valley Pkwy, Ste 4100Charlotte, NC 28211-4369 · Phone (704) 302-8320

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

Edina Swartz 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 ID9931245842
PECOS Enrollment IDI20091007000291
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 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.

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.
937 services15 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
214 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
94 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Dietitian, Registered
4525 CAMERON VALLEY PKWY, STE 4100
CHARLOTTE, NC 28211
Nurse Practitioner
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Internal Medicine (Hematology)
4525 CAMERON VALLEY PKWY, STE 3500
CHARLOTTE, NC 28211
Nurse Practitioner (Family)
4525 CAMERON VALLEY PKWY, STE 4100D
CHARLOTTE, NC 28211
Pharmacist (Oncology)
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Physician Assistant
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Internal Medicine
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Internal Medicine (Rheumatology)
4525 CAMERON VALLEY PKWY, SUITE 4100
CHARLOTTE, NC 28211

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 Edina Swartz's NPI number?

The NPI number for Edina Swartz is 1265619720. It was assigned to this individual provider in the NPPES registry on January 28, 2008.

Where is Edina Swartz located?

Edina Swartz practices at 4525 Cameron Valley Pkwy Ste 2100, Charlotte, NC 28211. The listed phone number is (704) 355-5100.

What is Edina Swartz's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Edina Swartz enrolled in Medicare?

Yes. Edina Swartz 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 Edina Swartz accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Edina Swartz 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 Edina Swartz affiliated with any hospitals?

According to CMS data, Edina Swartz is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Edina Swartz was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.