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GARTH R SWANSON M.D.
NPI 1538335385
Internal Medicine - Gastroenterology in Chicago, IL

Active since May 01, 2008PECOS EnrolledAccepts Medicare Assignment
1725 W HARRISON ST, SUITE 207, CHICAGO, IL 60612(312) 942-5861(312) 563-3883 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Garth R Swanson M.d. NPPES

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

GARTH R SWANSON M.D. (NPI 1538335385) is an individual gastroenterology provider in Chicago, Illinois, licensed in Illinois (036-111785) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2001).

NPPES Registry Identity

NPI1538335385
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameGARTH R SWANSONCredential: M.D.
Location Address1725 W HARRISON ST, SUITE 207Chicago, IL 60612-3841
Mailing Address1725 W Harrison St, Suite 207Chicago, IL 60612-3841 · (312) 942-5861 · Fax (312) 563-3883
Phone(312) 942-5861
Fax(312) 563-3883
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2001
Enumeration DateMay 1, 2008
✔ NPI 1538335385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036-111785
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1725 W HARRISON ST, Chicago, IL 60612
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, UnitedHealthcare.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

Garth R 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 ID8224066337
PECOS Enrollment IDI20230627003379
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 7

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 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.
37 services31 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.
35 services35 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
31 services31 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.
22 services19 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.
16 services16 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420020
Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County
Emergency services

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence 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
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Garth Swanson's NPI number?

The NPI number for Garth Swanson is 1538335385. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Garth Swanson located?

Garth Swanson practices at 1725 W Harrison St Suite 207, Chicago, IL 60612. The listed phone number is (312) 942-5861.

What is Garth Swanson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Garth Swanson enrolled in Medicare?

Yes. Garth 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 Garth Swanson accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Garth 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 Garth Swanson affiliated with any hospitals?

According to CMS data, Garth Swanson is affiliated with Musc Medical Center, Tidelands Georgetown Memorial Hospital and Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for Garth Swanson was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.