SEAN P SWEARINGEN M.D.
NPI 1477973964
Internal Medicine - Cardiovascular Disease in Chicago, IL

Q: What is Sean Swearingen's NPI number?

The NPI number for Sean Swearingen is 1477973964. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Q: What is Sean Swearingen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Swearingen was last updated on February 1, 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.

Active since April 23, 2014PECOS EnrolledAccepts Medicare Assignment

1725 W HARRISON ST, CHICAGO, IL 60612(312) 942-5020(219) 703-6854 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 1, 2022, Jun 15, 2020, Feb 14, 2017 (3 updates tracked since 2017).

On this page

About Sean P Swearingen M.d. NPPES

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

SEAN P SWEARINGEN M.D. (NPI 1477973964) is an individual cardiovascular disease provider in Chicago, Illinois, licensed in Illinois (036143484) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1477973964

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameSEAN P SWEARINGENCredential: M.D.

Location Address1725 W HARRISON STChicago, IL 60612-3841

Mailing Address1725 W Harrison StChicago, IL 60612-3841 · (312) 942-5020 · Fax (219) 703-6854

Phone(312) 942-5020

Fax(219) 703-6854

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2014

Enumeration DateApril 23, 2014

Last NPPES UpdateFebruary 1, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2022

✔ NPI 1477973964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in IL · 036143484✔ Licensed in IN · 01083759A

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 65251 (WI)

1725 W HARRISON ST, Chicago, IL 60612

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Secondary Practice Locations 3

Location 14320 Fir St Unit 320East Chicago, IN 46312-3076 · Phone (219) 392-7992 · Fax (219) 392-7987

Location 29104 Columbia AveMunster, IN 46321-2907 · Phone (219) 836-4473 · Fax (219) 703-6566

Location 3600 Highland Ave # H4831Madison, WI 53792-0001 · Phone (608) 263-5660

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.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

Sean P Swearingen 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 ID9931403086

PECOS Enrollment IDI20200619001139, I20220208000758

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

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

Rush University Medical Group

0.2 mi

Internal Medicine

1620 W HARRISON ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois and Indiana enrollments
2,169 clinicians in this Medicare group

NPI 1093819542 (312) 942-5000

Rush Medical Group

0.2 mi

Internal Medicine

1620 W HARRISON ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois and Indiana enrollments
548 clinicians in this Medicare group

NPI 1467312850 (312) 942-5000

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 22

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

298 services297 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

173 services164 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

136 services136 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

121 services121 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.

112 services94 patients

Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431

This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.

103 services103 patients

Nuclear medicine study of heart muscle blood flow by pet 78434

A nuclear medicine study of heart muscle blood flow by PET is a non-invasive test that uses a small amount of radioactive substance to create detailed images of your heart's blood flow and function. It helps assess heart health and diagnose heart conditions.

102 services102 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.

72 services68 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

71 services71 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

62 services29 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

60 services59 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

58 services58 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

53 services53 patients

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.

51 services49 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

45 services26 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

43 services43 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.

42 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

28 services26 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

27 services27 patients

Heart muscle strain imaging 93356

14 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

13 services13 patients

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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140063

Location520 S Maple AveOak Park, IL 60304 · Cook County

Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

DR. MARTA BATUS MD

Internal Medicine (Medical Oncology)

1725 W HARRISON ST, SUITE 809
CHICAGO, IL 60612

Cook County (312) 563-2487

KM WILLIAMS MD SC

Clinic/Center (Ophthalmologic Surgery)

1725 W HARRISON ST, STE 910
CHICAGO, IL 60612

Cook County (312) 622-7320

KENNETH M BOYER M.D.

Pediatrics (Pediatric Infectious Diseases)

1725 W HARRISON ST, SUITE 710
CHICAGO, IL 60612

Cook County (312) 942-3034

RUSH UNIVERSITY MEDICAL CENTER

Internal Medicine (Hematology)

1725 W HARRISON ST, SUITE 1010
CHICAGO, IL 60612

Cook County (312) 942-5904

DAVID ANSELL M.D.

Internal Medicine

1725 W HARRISON ST, SUITE 263
CHICAGO, IL 60612

Cook County (312) 942-6700

MIDWEST NEUROPSYCHIATRIC ASSOC LTD

Specialist

1725 W HARRISON ST, SUITE 744
CHICAGO, IL 60612

Cook County (312) 942-0118

JANICE DIESCHBOURG M.D.

Radiology (Diagnostic Radiology)

1725 W HARRISON ST, SUITE 155
CHICAGO, IL 60612

Cook County (312) 563-3269

AFFILIATED UROLOGISTS, LTD

Specialist

1725 W HARRISON ST, SUITE 762
CHICAGO, IL 60612

Cook County (312) 563-3447

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 Sean Swearingen's NPI number?

The NPI number for Sean Swearingen is 1477973964. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Sean Swearingen located?

Sean Swearingen practices at 1725 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 942-5020.

What is Sean Swearingen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sean Swearingen enrolled in Medicare?

Yes. Sean Swearingen 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 Sean Swearingen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Swearingen reassigns Medicare benefits to 2 organizations: Rush University Medical Group (Chicago, IL) and Rush Medical Group (Chicago, IL). 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 Sean Swearingen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Swearingen accept?

Health plans from Ambetter Health list Sean Swearingen 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 Sean Swearingen affiliated with any hospitals?

According to CMS data, Sean Swearingen is affiliated with Rush Oak Park Hospital and Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Swearingen was last updated on February 1, 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.