ANDREW MARTIN SWIERGOSZ MD
NPI 1285167940
Orthopaedic Surgery in Louisville, KY

Active since April 09, 2017PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
201 ABRAHAM FLEXNER WAY STE 100, LOUISVILLE, KY 40202(502) 587-8222(502) 587-0860 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2023, Jun 22, 2023, May 17, 2023 and 1 more (4 updates tracked since 2018).

About Andrew Martin Swiergosz Md NPPES

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

ANDREW MARTIN SWIERGOSZ MD (NPI 1285167940) is an individual orthopaedic surgery provider in Louisville, Kentucky, licensed in Kentucky (58013) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Chi Saint Joseph Health -flaget Memorial Hospital, and is a graduate of University Of Louisville School Of Medicine (2018).

NPPES Registry Identity

NPI1285167940
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameANDREW MARTIN SWIERGOSZCredential: MD
Location Address201 ABRAHAM FLEXNER WAY STE 100Louisville, KY 40202-3841
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0328
Fax(502) 587-0860
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2018
Enumeration DateApril 9, 2017
Last NPPES UpdateJuly 17, 20234 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
NPI 1285167940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in KY · 58013
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
201 ABRAHAM FLEXNER WAY STE 100, Louisville, KY 40202

Other Identifiers 2

Medicaid300077541IN
Medicaid7100901720KY

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

Andrew Martin Swiergosz 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 ID143575522
PECOS Enrollment IDI20230622001727
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 3

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.

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.
20 services18 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
13 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Chi Saint Joseph Health -Flaget Memorial Hospital

Acute Care Hospitals · Bardstown, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180025
Location4305 New Shepherdsville RoadBardstown, KY 40004 · Nelson County
Emergency services Birthing friendly

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 14

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

Physician Assistant
201 ABRAHAM FLEXNER WAY STE 100
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
201 ABRAHAM FLEXNER WAY STE 100
LOUISVILLE, KY 40202
Orthopaedic Surgery
201 ABRAHAM FLEXNER WAY STE 100
LOUISVILLE, KY 40202
Physician Assistant
201 ABRAHAM FLEXNER WAY STE 100
LOUISVILLE, KY 40202
Physician Assistant
201 ABRAHAM FLEXNER WAY STE 100
LOUISVILLE, KY 40202
Orthopaedic Surgery
201 ABRAHAM FLEXNER WAY STE 100
LOUISVILLE, KY 40202
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
201 ABRAHAM FLEXNER WAY STE 100
LOUISVILLE, KY 40202
Physician Assistant
201 ABRAHAM FLEXNER WAY STE 100
LOUISVILLE, KY 40202

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 Andrew Swiergosz's NPI number?

The NPI number for Andrew Swiergosz is 1285167940. It was assigned to this individual provider in the NPPES registry on April 9, 2017.

Where is Andrew Swiergosz located?

Andrew Swiergosz practices at 201 Abraham Flexner Way Ste 100, Louisville, KY 40202. The listed phone number is (502) 587-8222.

What is Andrew Swiergosz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Andrew Swiergosz enrolled in Medicare?

Yes. Andrew Swiergosz 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 Andrew Swiergosz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Andrew Swiergosz 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 Andrew Swiergosz affiliated with any hospitals?

According to CMS data, Andrew Swiergosz is affiliated with Chi Saint Joseph Health -Flaget Memorial Hospital and Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Andrew Swiergosz was last updated on July 17, 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.