DR. LOUIS H SWETERLITSCH III MD
NPI 1376612689
Ophthalmology in Bethlehem, PA

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
88.33/100
CMS Quality Rating
65 E ELIZABETH AVE, SUITE 207, BETHLEHEM, PA 18018(610) 867-5061(670) 867-5062 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Louis H Sweterlitsch Iii Md NPPES

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

DR. LOUIS H SWETERLITSCH III MD (NPI 1376612689) is an individual ophthalmology provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD059505L) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1992).

NPPES Registry Identity

NPI1376612689
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. LOUIS H SWETERLITSCH IIICredential: MD
Location Address65 E ELIZABETH AVE, SUITE 207Bethlehem, PA 18018-5518
Mailing Address65 E Elizabeth Ave, Suite 207Bethlehem, PA 18018-5518
Fax(670) 867-5062
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1992
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1376612689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD059505L
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

65 E ELIZABETH AVE, Bethlehem, PA 18018

Other Identifiers 1

Medicare UPING31509

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

Dr. Louis H Sweterlitsch Iii 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 ID7618018409
PECOS Enrollment IDI20091230000252
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 10

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 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.
229 services223 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.
166 services159 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.
49 services49 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.
28 services28 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
26 services26 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18018 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

88.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.67
Promoting Interoperability100
Improvement Activities40
Cost69.44

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.

Psychologist (Clinical)
65 E ELIZABETH AVE, SUITE 608
BETHLEHEM, PA 18018
Family Medicine
65 E ELIZABETH AVE, SUITE 208
BETHLEHEM, PA 18018
Internal Medicine (Endocrinology, Diabetes & Metabolism)
65 E ELIZABETH AVE, SUITE 708
BETHLEHEM, PA 18018
Podiatrist
65 E ELIZABETH AVE, SUITE 404
BETHLEHEM, PA 18018
Dentist (General Practice)
65 E ELIZABETH AVE, SUITE 504
BETHLEHEM, PA 18018
Clinic/Center (Rehabilitation, Substance Use Disorder)
65 E ELIZABETH AVE, SUITE 301A
BETHLEHEM, PA 18018
Psychologist
65 E ELIZABETH AVE, SUITE 301A
BETHLEHEM, PA 18018
Psychiatry & Neurology (Psychiatry)
65 E ELIZABETH AVE, SUITE 301A
BETHLEHEM, PA 18018

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 Louis Sweterlitsch's NPI number?

The NPI number for Louis Sweterlitsch is 1376612689. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Louis Sweterlitsch located?

Louis Sweterlitsch practices at 65 E Elizabeth Ave Suite 207, Bethlehem, PA 18018. The listed phone number is (610) 867-5061.

What is Louis Sweterlitsch's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Louis Sweterlitsch enrolled in Medicare?

Yes. Louis Sweterlitsch 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 Louis Sweterlitsch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Louis Sweterlitsch 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 Louis Sweterlitsch affiliated with any hospitals?

According to CMS data, Louis Sweterlitsch is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Louis Sweterlitsch was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.