ERIK SWANSON MD
NPI 1316436595
Emergency Medicine in New London, CT
About Erik Swanson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIK SWANSON MD (NPI 1316436595) is an individual emergency medicine provider in New London, Connecticut, licensed in Connecticut (82965) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Erik Swanson 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.
Medicare Billing Reassignments
3Medicare enrollment records show Erik Swanson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New London, CT 06320
- Reassigned Medicare billing, Connecticut enrollment
- 65 clinicians in this Medicare group
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 100 clinicians in this Medicare group
Blythe, CA 92225
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1073554002 (California)
- 2,323 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
NEW LONDON, CT 06320
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 Erik Swanson's NPI number?
The NPI number for Erik Swanson is 1316436595. It was assigned to this individual provider in the NPPES registry on May 3, 2018.
Where is Erik Swanson located?
Erik Swanson practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.
What is Erik Swanson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Erik Swanson enrolled in Medicare?
Yes. Erik Swanson 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.
Which organizations bill Medicare for Erik Swanson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erik Swanson reassigns Medicare benefits to 3 organizations: Lawrence And Memorial Hospital, Inc. (New London, CT), Cep America LLC (Hartford, CT) and Cep America-California (Blythe, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erik Swanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erik Swanson accept?
Health plans from WellSense Health Plan list Erik Swanson 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 Erik Swanson was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Erik Swanson, MD · NPI 1316436595
Emergency Medicine physician in New London, Connecticut. Individual provider, active in the CMS NPPES registry since May 3, 2018.
## Identity
- **NPI:** 1316436595 (Entity type: Individual)
- **Enumerated:** May 3, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 82965 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 365 MONTAUK AVE, New London, CT 06320-4769
- **Phone:** (860) 442-0711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lawrence And Memorial Hospital, Inc. (NPI 1073530879, New London, CT); Cep America LLC (NPI 1609671114, Hartford, CT); Cep America-California (NPI 1710826581, Blythe, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** December 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316436595) · Data from the CMS NPPES public registry.