STEPHEN M. SWAN
NPI 1326012618
Physician Assistant in Boulder, CO

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
1100 BALSAM AVE, BOULDER, CO 80304(303) 440-2037(303) 306-7753 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Stephen M. Swan NPPES

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

STEPHEN M. SWAN (NPI 1326012618) is an individual physician assistant in Boulder, Colorado, licensed in Colorado (PA.0001917) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Goodland Regional Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1326012618
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHEN M. SWAN
Location Address1100 BALSAM AVEBoulder, CO 80304-3404
Mailing AddressPo Box 173894Denver, CO 80217-3894 · (303) 306-7783 · Fax (303) 306-7753
Fax(303) 306-7753
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 14, 2006
Last NPPES UpdateAugust 7, 2015
NPI 1326012618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CO · PA.0001917
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedEmergency MedicineTaxonomy 207P00000X · License PAL 1917 (CO)
1100 BALSAM AVE, Boulder, CO 80304

Other Names 1

Professional Name (2)Stephen M. Swan Pa

Other Identifiers 4

Medicare UPINQ10664CO
Medicare PIN423760YUQWCO
Medicaid7555344CO
Medicare PINC803443CO

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

Stephen M. Swan 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 ID9032108055
PECOS Enrollment IDI20200204002660
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Goodland Regional Medical Center

Critical Access Hospitals · Goodland, KS
OwnershipGovernment - Local
CMS Certification Number171370
Location220 West Second StreetGoodland, KS 67735 · Sherman County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80304 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

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.

Pathology (Clinical Pathology/Laboratory Medicine)
1100 BALSAM AVE
BOULDER, CO 80304
Pathology (Anatomic Pathology & Clinical Pathology)
1100 BALSAM AVE
BOULDER, CO 80304
Occupational Therapist
1100 BALSAM AVE
BOULDER, CO 80304
Emergency Medicine
1100 BALSAM AVE
BOULDER, CO 80304
Anesthesiology
1100 BALSAM AVE
BOULDER, CO 80304
Emergency Medicine
1100 BALSAM AVE
BOULDER, CO 80304
Emergency Medicine
1100 BALSAM AVE
BOULDER, CO 80304
Physician Assistant
1100 BALSAM AVE
BOULDER, CO 80304

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 Stephen Swan's NPI number?

The NPI number for Stephen Swan is 1326012618. It was assigned to this individual provider in the NPPES registry on February 14, 2006. The provider is also known as Stephen M. Swan PA.

Where is Stephen Swan located?

Stephen Swan practices at 1100 Balsam Ave, Boulder, CO 80304. The listed phone number is (303) 440-2037.

What is Stephen Swan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephen Swan enrolled in Medicare?

Yes. Stephen Swan 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 Stephen Swan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Stephen Swan 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 Stephen Swan affiliated with any hospitals?

According to CMS data, Stephen Swan is affiliated with Goodland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Swan was last updated on August 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.