1. Home
  2. Directory
  3. California
  4. Danville
  5. Family Medicine
  6. NPI Profile

DR. MATTHEW HAYDEN SWARTZ DO
NPI 1497800916
Family Medicine in Danville, CA

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
61.17/100
CMS Quality Rating
4165 BLACKHAWK PLAZA CIR, STE 100, DANVILLE, CA 94506(925) 736-7070(925) 736-7075 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2023, Apr 7, 2022 (2 updates tracked since 2022).

About Dr. Matthew Hayden Swartz Do NPPES

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

DR. MATTHEW HAYDEN SWARTZ DO (NPI 1497800916) is an individual family medicine provider in Danville, California, licensed in California (20A9537) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Cody Regional Health, and is a graduate of Nova Southeastern College Of Osteo Medicine (2004).

NPPES Registry Identity

NPI1497800916
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW HAYDEN SWARTZCredential: DO
Location Address4165 BLACKHAWK PLAZA CIR, STE 100Danville, CA 94506-4691
Mailing Address4165 Blackhawk Plaza Cir, Ste 100Danville, CA 94506-4691 · (925) 736-7070 · Fax (925) 736-7075
Phone(925) 736-7070
Fax(925) 736-7075
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2004
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1497800916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 20A9537✔ Licensed in SD · 8736✔ Licensed in NC · 2008-01299
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4165 BLACKHAWK PLAZA CIR, Danville, CA 94506
Open in Google Maps ↗

Other Identifiers 1

Medicaid5908913NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica.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. Matthew Hayden Swartz Do 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 ID7012033467
PECOS Enrollment IDI20221117002218
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 4

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.

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.
135 services82 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
89 services88 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.
53 services36 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.
39 services37 patients

Hospital Affiliations CMS Care Compare

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

Cody Regional Health

Critical Access Hospitals · Cody, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531312
Location707 Sheridan AvenueCody, WY 82414 · Park County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94506 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

61.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.83
Promoting Interoperability80
Improvement Activities40
Cost15.41

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers22 claims22 services$110.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MICHAEL J SCHIERMAN MD A PROFESSIONAL CORPORATION
Family Medicine
4165 BLACKHAWK PLAZA CIR, SUITE 265
DANVILLE, CA 94506
Contra Costa County (925) 648-7140
BODYMAX PHYSICAL THERAPY, INC.
Physical Therapist
4165 BLACKHAWK PLAZA CIR, #275
DANVILLE, CA 94506
Contra Costa County (925) 736-1305
COURTNEY F SEPIC N.P.
Nurse Practitioner
4165 BLACKHAWK PLAZA CIR, SUITE 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
PAMELA MCDONALD W.H.N.P., A.N.P.
Nurse Practitioner (Women's Health)
4165 BLACKHAWK PLAZA CIR, # 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
JULIE A LAGUARDIA F.N.P.
Nurse Practitioner (Family)
4165 BLACKHAWK PLAZA CIR, # 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
DR. DENISE O'RIORDAN M.D.
Pediatrics
4165 BLACKHAWK PLAZA CIR, SUITE #100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
PENSCOTT MEDICAL CORPORATION
Family Medicine
4165 BLACKHAWK PLAZA CIR, #250
DANVILLE, CA 94506
Contra Costa County (925) 736-8510
MELODY BENZEL
Physical Therapist (Orthopedic)
4165 BLACKHAWK PLAZA CIR, #275
DANVILLE, CA 94506
Contra Costa County (925) 736-1305

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 Matthew Swartz's NPI number?

The NPI number for Matthew Swartz is 1497800916. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Matthew Swartz located?

Matthew Swartz practices at 4165 Blackhawk Plaza Cir Ste 100, Danville, CA 94506. The listed phone number is (925) 736-7070.

What is Matthew Swartz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Swartz enrolled in Medicare?

Yes. Matthew Swartz 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 Matthew Swartz accept?

Health plans from Blue Cross Blue Shield of Wyoming and Medica list Matthew 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.

Is Matthew Swartz affiliated with any hospitals?

According to CMS data, Matthew Swartz is affiliated with Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Matthew Swartz was last updated on June 8, 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.