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KENNETH GIRVAN SWAN JR. MD
NPI 1518035625
Orthopaedic Surgery in Iselin, NJ

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
740 ROUTE 1 N, ISELIN, NJ 08830(732) 853-8610(732) 885-3862 Get Directions Write a Review

NPPES record last updated: June 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Girvan Swan Jr. Md NPPES

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

KENNETH GIRVAN SWAN JR. MD (NPI 1518035625) is an individual orthopaedic surgery provider in Iselin, New Jersey, licensed in New Jersey (25MA07516000) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Js Weill Medical College, Cornell University (2000).

NPPES Registry Identity

NPI1518035625
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKENNETH GIRVAN SWAN JR.Credential: MD
Location Address740 ROUTE 1 NIselin, NJ 08830-2652
Mailing Address2 Worlds Fair DrSomerset, NJ 08873-1369 · (732) 504-3649 · Fax (732) 564-9032
Phone(732) 853-8610
Fax(732) 885-3862
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2000
Enumeration DateNovember 30, 2006
Last NPPES UpdateJune 14, 2020
NPPES CertifiedJune 14, 2020
✔ NPI 1518035625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NJ · 25MA07516000
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 25MA07516000 (NJ)
740 ROUTE 1 N, Iselin, NJ 08830
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Accepted Insurance

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

Kenneth Girvan Swan Jr. 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 ID5294750345
PECOS Enrollment IDI20070502000364
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.

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.
156 services114 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
127 services70 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
96 services69 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
95 services43 patients
Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326
Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.
31 services19 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
30 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08830 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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
1%1,139 patients1/55-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.
50%1,953 patients1/55-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.
96%209 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
85%313 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.
95%709 patients4/55-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.
56%1,362 patients3/55-star benchmark: 99%
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…
30%1,054 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 tobacco: 91% · 499 patients
99%499 patients
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…
100%1,362 patients5/55-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…
3%1,362 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 313 patients
0%313 patients5/55-star benchmark: 100%
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 9

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

MS. MIRIAM JUDITH PABON APN-BC
Nurse Practitioner (Family)
740 ROUTE 1 N
ISELIN, NJ 08830
Middlesex County (732) 726-0011
DR. OWOBAMISHOLA SHONOWO MD
Obstetrics & Gynecology
740 ROUTE 1 N
ISELIN, NJ 08830
Middlesex County (732) 362-3840
DR. DOUGLAS EDWARD PITCHFORD M.D.
Anesthesiology (Pain Medicine)
740 ROUTE 1 N
ISELIN, NJ 08830
Middlesex County (732) 734-1310
MS. CAROL ANN HUGGLER APN
Nurse Practitioner (Family)
740 ROUTE 1 N, RARITAN BAY MEDICAL CENTER MEDICAL PAVILION @ WOODBRIDG
ISELIN, NJ 08830
Middlesex County (732) 726-0011
KASHIF I SIDDIQI MD
Anesthesiology (Pain Medicine)
740 ROUTE 1 N
ISELIN, NJ 08830
Middlesex County (732) 847-2555
HEATHER ZEVENEY APN-C
Nurse Practitioner (Family)
740 ROUTE 1 N
ISELIN, NJ 08830
Middlesex County (732) 726-0011
JANE E RYAN APN-C
Nurse Practitioner (Family)
740 ROUTE 1 N
ISELIN, NJ 08830
Middlesex County (732) 726-0011
MRS. SARA ZUCKERMAN PA
Physician Assistant (Medical)
740 ROUTE 1 N
ISELIN, NJ 08830
Middlesex County (732) 726-0011

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 Kenneth Swan's NPI number?

The NPI number for Kenneth Swan is 1518035625. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Kenneth Swan located?

Kenneth Swan practices at 740 Route 1 N, Iselin, NJ 08830. The listed phone number is (732) 853-8610.

What is Kenneth Swan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kenneth Swan enrolled in Medicare?

Yes. Kenneth Swan 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 Kenneth Swan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kenneth Swan 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 Kenneth Swan affiliated with any hospitals?

According to CMS data, Kenneth Swan is affiliated with Robert Wood Johnson University Hospital, Raritan Bay Medical Center and Saint Peter's University Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Swan was last updated on June 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.