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DR. DANIEL J SWARTZ MD
NPI 1558308304
Family Medicine in Rochester, MN

Active since June 01, 2006Opted out of Medicare · through Sep 30, 2026
4303 HWY 52 N, ROCHESTER, MN 55901(507) 292-7070 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Daniel J Swartz Md NPPES

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

DR. DANIEL J SWARTZ MD (NPI 1558308304) is an individual family medicine provider in Rochester, Minnesota, licensed in Virginia (0101263477) and active in the NPI registry since June 2006. He has opted out of Medicare through September 30, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558308304
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL J SWARTZCredential: MD
Location Address4303 HWY 52 NRochester, MN 55901-4154
Mailing Address1149 Vista Park Dr Ste CForest, VA 24551-4685 · (434) 616-2455 · Fax (434) 253-1806
Phone(507) 292-7070
Sole ProprietorYes
Enumeration DateJune 1, 2006
Last NPPES UpdateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
✔ NPI 1558308304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101263477✔ Licensed in MN · 47794
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.

4303 HWY 52 N, Rochester, MN 55901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Daniel J Swartz Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 30, 2020 through September 30, 2026.

Opt-Out Effective DateSeptember 30, 2020
Opt-Out In Effect ThroughSeptember 30, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55901 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Reported Quality Measures

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%508 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.
92%25 patients3/55-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.
85%149 patients4/55-star benchmark: 97%
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…
93%148 patients4/55-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…
68%148 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
45%148 patients
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.

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers25 claims25 services$32.59 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

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

DR. THOMAS W MILLER
Family Medicine
4303 HWY 52 N
ROCHESTER, MN 55901
Olmsted County (507) 292-7070

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 Daniel Swartz's NPI number?

The NPI number for Daniel Swartz is 1558308304. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Daniel Swartz located?

Daniel Swartz practices at 4303 Hwy 52 N, Rochester, MN 55901. The listed phone number is (507) 292-7070.

What is Daniel Swartz's specialty?

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

Is Daniel Swartz enrolled in Medicare?

No. Daniel Swartz has opted out of Medicare through September 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Daniel Swartz was last updated on July 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.