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RANDAL W SWENSON MD
NPI 1578522959
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Slc, UT

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
4000 S 700 E, STE 10, SLC, UT 84107(801) 268-4141(801) 268-4141 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Randal W Swenson Md NPPES

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

RANDAL W SWENSON MD (NPI 1578522959) is an individual otolaryngology/facial plastic surgery provider in Slc, Utah, licensed in Utah (172807-1205) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1979).

NPPES Registry Identity

NPI1578522959
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameRANDAL W SWENSONCredential: MD
Location Address4000 S 700 E, STE 10Slc, UT 84107-2180
Mailing Address4000 S 700 E, Ste 10Slc, UT 84107-2180 · (801) 268-4141 · Fax (801) 268-4141
Phone(801) 268-4141
Fax(801) 268-4141
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1979
Enumeration DateMarch 22, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1578522959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in UT · 172807-1205
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 172807-1205 (UT)
4000 S 700 E, Slc, UT 84107
Open in Google Maps ↗

Other Identifiers 1

Medicaid870354540001UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Randal W Swenson 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 ID3577518075
PECOS Enrollment IDI20050317000501
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.

Medicare Billing Reassignment

Medicare enrollment records show Randal Swenson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ent Professional Association Services
2.5 mi
Otolaryngology
4000 S 700 E, STE 10
Slc, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 10 clinicians in this Medicare group
NPI 1801857271 (801) 268-4141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
51 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services12 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.
19 services15 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
12 services11 patients

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

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.
95%856 patients4/55-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.
95%1,596 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.
99%72 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%916 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
43%181 patients2/55-star benchmark: 90%
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…
37%750 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
48%176 patients3/55-star benchmark: 88%
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…
98%916 patients4/55-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 10

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

LILLIAN NADEN CSW
Social Worker (Clinical)
4000 S 700 E
SALT LAKE CITY, UT 84107
Salt Lake County (801) 639-9544
NANCY J STEVENSON PA-C
Physician Assistant
4000 S 700 E, STE 10
SLC, UT 84107
Salt Lake County (801) 268-4141
LYN DWYER SPATARO
Social Worker
4000 S 700 E
SALT LAKE CITY, UT 84107
Salt Lake County (801) 639-9544
MRS. LYNDSIE THOMPSON PA-C, MPAS
Physician Assistant
4000 S 700 E, SUITE 10
SALT LAKE CITY, UT 84107
Salt Lake County (801) 268-4141
DAVID K PALMER MD
Otolaryngology
4000 S 700 E, STE 10
SLC, UT 84107
Salt Lake County (801) 268-4141
DR. JOHN E BUTLER M.D.
Otolaryngology
4000 S 700 E, STE 10
SLC, UT 84107
Salt Lake County (801) 268-4141
RASMUSSEN VORHEES PC
Surgery
4000 S 700 E, 9
SALT LAKE CITY, UT 84107
Salt Lake County (801) 993-9527
JERRY W SONKENS MD
Otolaryngology
4000 S 700 E, STE 10
SLC, UT 84107
Salt Lake County (801) 268-4141

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 Randal Swenson's NPI number?

The NPI number for Randal Swenson is 1578522959. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Randal Swenson located?

Randal Swenson practices at 4000 S 700 E Ste 10, Slc, UT 84107. The listed phone number is (801) 268-4141.

What is Randal Swenson's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Randal Swenson enrolled in Medicare?

Yes. Randal Swenson 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.

Which organization bills Medicare for Randal Swenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randal Swenson reassigns Medicare benefits to Ent Professional Association Services (Slc, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randal Swenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randal Swenson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Randal Swenson 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.

When was this NPI record last updated?

The NPPES record for Randal Swenson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.