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KATHRYN M SWARTZ M.D.
NPI 1386609675
Pathology - Clinical Pathology/Laboratory Medicine in Beaver Dam, WI

Active since April 19, 2006PECOS Enrolled
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(920) 887-7181(920) 887-6833 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2023, Nov 17, 2022, Oct 19, 2022 and 2 more (5 updates tracked since 2020).

About Kathryn M Swartz M.d. NPPES

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

KATHRYN M SWARTZ M.D. (NPI 1386609675) is an individual clinical pathology/laboratory medicine provider in Beaver Dam, Wisconsin, licensed in Wisconsin (47943) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386609675
Entity TypeIndividualFemale
Primary Taxonomy207ZP0105X
Provider Legal NameKATHRYN M SWARTZCredential: M.D.
Location Address707 S UNIVERSITY AVEBeaver Dam, WI 53916-3027
Mailing Address5 Ethan CirMadison, WI 53719-4664
Phone(920) 887-7181
Fax(920) 887-6833
Sole ProprietorNo
Enumeration DateApril 19, 2006
Last NPPES UpdateMay 11, 20235 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1386609675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
Licenses✔ Licensed in WI · 47943✔ Licensed in MN · 50165
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
707 S UNIVERSITY AVE, Beaver Dam, WI 53916
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Other Identifiers 1

Medicaid511187000MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn M Swartz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

7

Medicare enrollment records show Kathryn Swartz reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaver Dam Community Hospitals Inc
Same address
Hospitalist
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
NPI 1235541202 (920) 887-7181
Mchs Hospitals, Inc.
77 mi
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
NPI 1386249894 (715) 342-0290
Marshfield Clinic Inc
107 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Memorial Hospital Inc
117 mi
Critical Access
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,440 clinicians in this Medicare group
NPI 1346239373 (715) 743-3101
Black River Health Inc
117 mi
Medicare Defined Swing Bed Unit
711 W ADAMS ST
Black River Falls, WI 54615
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1811940331 (Wisconsin)
  • 227 clinicians in this Medicare group
NPI 1003914011 (715) 284-5361
Flambeau Hospital Inc
188 mi
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
NPI 1194317966 (715) 762-2484
Lakeview Medical Center Inc Of Rice Lake
189 mi
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1659008605 (715) 924-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

BEAVER DAM COMMUNITY HOSPITALS INC
General Acute Care Hospital
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-7181
PAIGE SMITHBACK
Physician Assistant
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-6606
DR. LUCIA ZDRAZILOVA MD
Anesthesiology
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-5975
TIA MATHWICH PT
Physical Therapist
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-7181
MRS. LYNDA K VIELBIG CRNA
Nurse Anesthetist, Certified Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-4020
DR. PATRICK A LEONBERGER D.O.
Internal Medicine
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (314) 517-8214
MRS. TERESA MARY HILL RD
Dietitian, Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-6609
AIMEE E SCHNEIDER CRNA
Nurse Anesthetist, Certified Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-7181

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 Kathryn Swartz's NPI number?

The NPI number for Kathryn Swartz is 1386609675. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Kathryn Swartz located?

Kathryn Swartz practices at 707 S University Ave, Beaver Dam, WI 53916. The listed phone number is (920) 887-7181.

What is Kathryn Swartz's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Kathryn Swartz enrolled in Medicare?

Yes. Kathryn Swartz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathryn Swartz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Swartz reassigns Medicare benefits to 7 organizations: Beaver Dam Community Hospitals Inc (Beaver Dam, WI), Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital Inc (Neillsville, WI), Black River Health Inc (Black River Falls, WI) and 2 more organizations, listed in the Medicare section above. 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 Kathryn Swartz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Swartz accept?

Health plans from Sanford Health Plan list Kathryn Swartz 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 Kathryn Swartz was last updated on May 11, 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.