1. Home
  2. Directory
  3. Pennsylvania
  4. Phoenixville
  5. Otolaryngology
  6. NPI Profile

PAUL B SWANSON M.D.
NPI 1346337987
Otolaryngology in Phoenixville, PA

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
826 MAIN ST, SUITE 201, PHOENIXVILLE, PA 19460(610) 415-1100(610) 415-1101 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul B Swanson M.d. NPPES

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

PAUL B SWANSON M.D. (NPI 1346337987) is an individual otolaryngology provider in Phoenixville, Pennsylvania, licensed in Pennsylvania (MD071542L) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346337987
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NamePAUL B SWANSONCredential: M.D.
Location Address826 MAIN ST, SUITE 201Phoenixville, PA 19460-4459
Mailing Address826 Main St, Suite 201Phoenixville, PA 19460-4459 · (610) 415-1100 · Fax (610) 415-1101
Phone(610) 415-1100
Fax(610) 415-1101
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1994
Enumeration DateOctober 6, 2006
Last NPPES UpdateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
✔ NPI 1346337987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in PA · MD071542L
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
826 MAIN ST, Phoenixville, PA 19460
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15 S Sunnybrook Rd Ste 300Pottstown, PA 19464-3285 · Phone (610) 415-1100 · Fax (610) 415-1101
Location 2825 Old Lancaster Rd Ste 300Bryn Mawr, PA 19010-3235 · Phone (610) 415-1100 · Fax (610) 415-1101

Other Identifiers 1

Other220324YEXCPA · Medicare Ptan

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

Paul B Swanson 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 ID7214839547
PECOS Enrollment IDI20040126000592
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 8

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
524 services351 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
421 services319 patients
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.
385 services282 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
221 services179 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
157 services157 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
84 services82 patients

Hospital Affiliations CMS Care Compare 5

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

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19460 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
87%715 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%3,466 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
75%619 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%232 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
74%2,781 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
53%750 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
81%750 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%750 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BRUCE WEINER MD
Surgery
826 MAIN ST, MOB II STE 203
PHOENIXVILLE, PA 19460
Chester County (610) 983-1980
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
Specialist
826 MAIN ST, MOB II SUITE 202
PHOENIXVILLE, PA 19460
Chester County (610) 415-1600
PAIN AND PALLIATIVE CARE ASSOCIATES
Psychiatry & Neurology (Pain Medicine)
826 MAIN ST, STE 203
PHOENIXVILLE, PA 19460
Chester County (610) 481-0225
DR. COLLEEN O'DONNELL AUD, CCC/A
Audiologist
826 MAIN ST, SUITE 201
PHOENIXVILLE, PA 19460
Chester County (610) 415-1100
JENNIFER ISAYEV AUDIOLOGIST
Audiologist
826 MAIN ST, SUITE 201
PHOENIXVILLE, PA 19460
Chester County (610) 415-1100
TALAE SAEED MD
Family Medicine
826 MAIN ST, SUIT 100
PHOENIXVILLE, PA 19460
Chester County (610) 933-8000
DR. DANIEL A. RATLIFF D.O.
Internal Medicine (Cardiovascular Disease)
826 MAIN ST, SUITE 100
PHOENIXVILLE, PA 19460
Chester County (610) 933-8484
MARIA LUBRANO-LOBIANCO MSN CRNP RN AGNP-BC
Nurse Practitioner
826 MAIN ST, SUITE 100
PHOENIXVILLE, PA 19460
Chester County (610) 933-8484

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 Paul Swanson's NPI number?

The NPI number for Paul Swanson is 1346337987. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Paul Swanson located?

Paul Swanson practices at 826 Main St Suite 201, Phoenixville, PA 19460. The listed phone number is (610) 415-1100.

What is Paul Swanson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Paul Swanson enrolled in Medicare?

Yes. Paul 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.

Is Paul Swanson affiliated with any hospitals?

According to CMS data, Paul Swanson is affiliated with Pottstown Hospital, Phoenixville Hospital, Bryn Mawr Hospital, Paoli Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Paul Swanson was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.