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THOMAS H SWANSON MD
NPI 1376535575
Psychiatry & Neurology - Neurology in Missoula, MT

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
2825 FORT MISSOULA RD STE 121, MISSOULA, MT 59804(406) 926-3500(406) 926-3498 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2023, Jul 19, 2019, May 1, 2018 (3 updates tracked since 2018).

About Thomas H Swanson Md NPPES

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

THOMAS H SWANSON MD (NPI 1376535575) is an individual neurology provider in Missoula, Montana, licensed in Montana (11860) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains a secondary practice location in Milford.

NPPES Registry Identity

NPI1376535575
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameTHOMAS H SWANSONCredential: MD
Location Address2825 FORT MISSOULA RD STE 121Missoula, MT 59804-7403
Mailing Address2825 Fort Missoula Rd Ste 121Missoula, MT 59804-7403 · (406) 926-3500 · Fax (406) 926-3498
Phone(406) 926-3500
Fax(406) 926-3498
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1986
Enumeration DateAugust 16, 2005
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1376535575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in MT · 11860✔ Licensed in MI · 4301086966
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2825 FORT MISSOULA RD STE 121, Missoula, MT 59804
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Secondary Practice Location 1

Location 13230 Beach Lake Dr WMilford, MI 48380-2874 · Phone (406) 274-2295

Other Identifiers 1

Medicaid0938641OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Molina Healthcare, Mountain Health CO-OP and more.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

Thomas H 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.

PECOS PAC ID2062309891
PECOS Enrollment IDI20081202000413
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Swanson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montana Neurology PLLC
Same address
Neurology
2825 FORT MISSOULA RD STE 121
Missoula, MT 59804
  • Reassigned Medicare billing, Montana enrollment
  • 5 clinicians in this Medicare group
NPI 1780810275 (406) 926-3500
University Physician Group
1,525 mi
Physical Therapist
44000 W 12 MILE RD STE 205, WSUPG PM&R OAKWOOD
Novi, MI 48377
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
NPI 1336492354 (248) 465-0100

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
171 services72 patients
Measurement of brain wave activity (eeg), 12-26 hours 95708
An EEG, or Electroencephalogram, is a test that records brain activity. For 12-26 hours, small sensors attached to your head capture your brain's electrical signals. This helps doctors understand brain function and diagnose conditions like epilepsy.
71 services21 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
41 services41 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients
Measurement of brain wave activity (eeg), 61-84 hours with health care professional review and report 95723
An EEG (Electroencephalogram) is a test that measures your brain's electrical activity over a period of 61-84 hours. The results are reviewed by a healthcare professional who provides a report. This can aid in diagnosing and monitoring neurological disorders.
11 services11 patients
Measurement of brain wave activity (eeg), more than 84 hours with review and report by health care professional 95725
This procedure involves recording brain wave activity for over 84 hours using an EEG (Electroencephalogram). Electrodes are placed on your scalp to capture these signals. A healthcare professional will then review and report on these findings.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Missoula, MT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270023
Location2827 Fort Missoula RdMissoula, MT 59804 · Missoula County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59804 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
36%70 patients2/55-star benchmark: 95%
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.
99%588 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.
93%254 patients4/55-star benchmark: 99%
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.
100%220 patients5/55-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.
42%304 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
29%283 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 174 patients
75%174 patients4/55-star benchmark: 98%
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…
57%185 patients3/55-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…
49%304 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
43%304 patients
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEGGY SUE SCHARBERG CHAFFIN APRN
Nurse Practitioner (Primary Care)
2825 FORT MISSOULA RD STE 121
MISSOULA, MT 59804
Missoula County (406) 926-3500
MONTANA NEUROLOGY PLLC
Psychiatry & Neurology (Neurology)
2825 FORT MISSOULA RD STE 121
MISSOULA, MT 59804
Missoula County (406) 926-3500

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 Thomas Swanson's NPI number?

The NPI number for Thomas Swanson is 1376535575. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Thomas Swanson located?

Thomas Swanson practices at 2825 Fort Missoula Rd Ste 121, Missoula, MT 59804. The listed phone number is (406) 926-3500.

What is Thomas Swanson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Thomas Swanson enrolled in Medicare?

Yes. Thomas 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 Thomas Swanson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Swanson reassigns Medicare benefits to 2 organizations: Montana Neurology PLLC (Missoula, MT) and University Physician Group (Novi, MI). 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 Thomas Swanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Swanson accept?

Health plans from Blue Cross and Blue Shield of Montana, Molina Healthcare, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Thomas 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.

Is Thomas Swanson affiliated with any hospitals?

According to CMS data, Thomas Swanson is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Swanson was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.