DR. SCOTT SWANSON M.D.
NPI 1528266269
Plastic Surgery - Surgery of the Hand in Goshen, IN

Active since July 04, 2007PECOS EnrolledAccepts Medicare Assignment
93.37/100
CMS Quality Rating
1824 DORCHESTER CT STE A, GOSHEN, IN 46526(574) 534-2548(574) 534-3622 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Scott Swanson M.d. NPPES

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

DR. SCOTT SWANSON M.D. (NPI 1528266269) is an individual surgery of the hand provider in Goshen, Indiana, licensed in Indiana (01091562A) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Goshen Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1528266269
Entity TypeIndividualMale
Primary Taxonomy2082S0105X
Provider Legal NameDR. SCOTT SWANSONCredential: M.D.
Location Address1824 DORCHESTER CT STE AGoshen, IN 46526-6819
Mailing Address1824 Dorchester Ct Ste AGoshen, IN 46526-6819 · (574) 534-2548
Fax(574) 534-3622
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 4, 2007
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
NPI 1528266269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2082S0105X
License Licensed in IN · 01091562A
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 01091562A (IN)
1824 DORCHESTER CT STE A, Goshen, IN 46526

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. Scott Swanson 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 ID4183864820
PECOS Enrollment IDI20231031001349
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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
198 services57 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.
170 services87 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
168 services71 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
128 services80 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
123 services123 patients
Application of nonmoveable forearm to hand splint 29125
The application of a non-moveable forearm to hand splint is a procedure where a rigid support is placed on your forearm and hand. This is done to stabilize the area, promote healing, and prevent further injury. It restricts movement, providing rest to the injured part.
53 services24 patients

Hospital Affiliations CMS Care Compare

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

Goshen Hospital

Acute Care Hospitals · Goshen, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150026
Location200 High Park AveGoshen, IN 46526 · Elkhart County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

93.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.57
Promoting Interoperability96
Improvement Activities40
Cost62.14

Other Providers at the Same Location NPPES 7

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

Specialist/Technologist (Athletic Trainer)
1824 DORCHESTER CT STE A
GOSHEN, IN 46526
Nurse Practitioner (Family)
1824 DORCHESTER CT STE A
GOSHEN, IN 46526
Podiatrist
1824 DORCHESTER CT STE A
GOSHEN, IN 46526
Orthopaedic Surgery
1824 DORCHESTER CT STE A
GOSHEN, IN 46526
Orthopaedic Surgery
1824 DORCHESTER CT STE A
GOSHEN, IN 46526
Anesthesiology (Pain Medicine)
1824 DORCHESTER CT STE A
GOSHEN, IN 46526
Orthopaedic Surgery
1824 DORCHESTER CT STE A
GOSHEN, IN 46526

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 Scott Swanson's NPI number?

The NPI number for Scott Swanson is 1528266269. It was assigned to this individual provider in the NPPES registry on July 4, 2007.

Where is Scott Swanson located?

Scott Swanson practices at 1824 Dorchester Ct Ste A, Goshen, IN 46526. The listed phone number is (574) 534-2548.

What is Scott Swanson's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Is Scott Swanson enrolled in Medicare?

Yes. Scott Swanson 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 Scott Swanson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Scott Swanson 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 Scott Swanson affiliated with any hospitals?

According to CMS data, Scott Swanson is affiliated with Goshen Hospital.

When was this NPI record last updated?

The NPPES record for Scott Swanson was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.