DR. KIRK W SWENSEN MD
NPI 1295895050
Emergency Medicine in Sedro Woolley, WA

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment
93.67/100
CMS Quality Rating
2000 HOSPITAL DR, SEDRO WOOLLEY, WA 98284(360) 856-7110 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kirk W Swensen Md NPPES

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

DR. KIRK W SWENSEN MD (NPI 1295895050) is an individual emergency medicine provider in Sedro Woolley, Washington, licensed in Washington (MD00036560) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Island Hospital, and is a graduate of University Of Arizona College Of Medicine (1991).

NPPES Registry Identity

NPI1295895050
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KIRK W SWENSENCredential: MD
Location Address2000 HOSPITAL DRSedro Woolley, WA 98284-4327
Mailing AddressPo Box 30456Bellingham, WA 98228-2456 · (360) 393-2227
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1991
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1295895050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WA · MD00036560
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.

2000 HOSPITAL DR, Sedro Woolley, WA 98284

Other Identifiers 1

Medicare UPING82089

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

Dr. Kirk W Swensen 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 ID5597732362
PECOS Enrollment IDI20050218000107
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.

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.
60 services58 patients
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.
35 services31 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.
21 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Island Hospital

Acute Care Hospitals · Anacortes, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500007
Location1211 24th StreetAnacortes, WA 98221 · Skagit County
Emergency services Birthing friendly

Trios Health

Acute Care Hospitals · Kennewick, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500053
Location900 South Auburn StreetKennewick, WA 99336 · Benton County
Emergency services Birthing friendly

Three Rivers Hospital

Critical Access Hospitals · Brewster, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501324
Location507 Hospital WayBrewster, WA 98812 · Okanogan County
Emergency services

Forks Community Hospital

Critical Access Hospitals · Forks, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501325
Location530 Bogachiel WayForks, WA 98331 · Clallam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98284 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.

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.

93.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.76
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.

General Acute Care Hospital (Critical Access)
2000 HOSPITAL DR
SEDRO WOOLLEY, WA 98284
Dietitian, Registered
2000 HOSPITAL DR
SEDRO WOOLLEY, WA 98284
Clinical Medical Laboratory
2000 HOSPITAL DR
SEDRO WOOLLEY, WA 98284
Physician Assistant
2000 HOSPITAL DR
SEDRO WOOLLEY, WA 98284
General Acute Care Hospital (Critical Access)
2000 HOSPITAL DR
SEDRO WOOLLEY, WA 98284
Emergency Medicine
2000 HOSPITAL DR
SEDRO WOOLLEY, WA 98284
Surgery
2000 HOSPITAL DR
SEDRO WOOLLEY, WA 98284
Specialist
2000 HOSPITAL DR
SEDRO WOOLLEY, WA 98284

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 Kirk Swensen's NPI number?

The NPI number for Kirk Swensen is 1295895050. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Kirk Swensen located?

Kirk Swensen practices at 2000 Hospital Dr, Sedro Woolley, WA 98284. The listed phone number is (360) 856-7110.

What is Kirk Swensen's specialty?

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

Is Kirk Swensen enrolled in Medicare?

Yes. Kirk Swensen 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 Kirk Swensen accept?

Health plans from Providence Health Plan list Kirk Swensen 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 Kirk Swensen affiliated with any hospitals?

According to CMS data, Kirk Swensen is affiliated with Island Hospital, Trios Health, Three Rivers Hospital and Forks Community Hospital.

When was this NPI record last updated?

The NPPES record for Kirk Swensen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.