ANDREW PAUL SWENSON M.D.
NPI 1316292527
Emergency Medicine in Bismarck, ND

Q: What is Andrew Swenson's NPI number?

The NPI number for Andrew Swenson is 1316292527. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Q: What is Andrew Swenson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Swenson was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 13, 2012PECOS EnrolledAccepts Medicare Assignment

83.98/100

CMS Quality Rating

300 N 7TH ST, BISMARCK, ND 58501(701) 323-6000 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrew Paul Swenson M.d. NPPES

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

ANDREW PAUL SWENSON M.D. (NPI 1316292527) is an individual emergency medicine provider in Bismarck, North Dakota, licensed in North Dakota (15167) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1316292527

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameANDREW PAUL SWENSONCredential: M.D.

Location Address300 N 7TH STBismarck, ND 58501-4439

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 323-6000

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2012

Enumeration DateJuly 13, 2012

Last NPPES UpdateMay 13, 2024

NPPES CertifiedMay 13, 2024

✔ NPI 1316292527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in ND · 15167✔ Licensed in MI · 4301101150

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.

300 N 7TH ST, Bismarck, ND 58501

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Secondary Practice Location 1

Location 1100 Michigan St NE # Mc49Grand Rapids, MI 49503-2560 · Phone (616) 732-6200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica.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 Paul Swenson M.d. 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 ID4587892435

PECOS Enrollment IDI20180927000696

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 5

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 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.

292 services266 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.

239 services213 patients

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.

66 services66 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

45 services43 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350015

Location300 N 7th StBismarck, ND 58506 · Burleigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

83.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.28

Promoting Interoperability

Improvement Activities

Cost

68.15

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.

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