DR. MARC T SWOGGER PH.D.
NPI 1598994535
Psychologist - Clinical in Rochester, NY

Active since July 13, 2009PECOS EnrolledAccepts Medicare Assignment
80.29/100
CMS Quality Rating
UNIVERSITY OF ROCHESTER MEDICAL CTR, 300 CRITTENDEN BLVD., ROCHESTER, NY 14642(585) 275-7418(585) 273-1117 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Marc T Swogger Ph.d. NPPES

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

DR. MARC T SWOGGER PH.D. (NPI 1598994535) is an individual clinical provider in Rochester, New York, licensed in New York (0174121) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1598994535
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARC T SWOGGERCredential: PH.D.
Location AddressUNIVERSITY OF ROCHESTER MEDICAL CTR, 300 CRITTENDEN BLVD.Rochester, NY 14642-0001
Mailing Address601 Elmwood Ave, Box: PsychRochester, NY 14642-0001 · (585) 275-7418 · Fax (585) 276-0161
Fax(585) 273-1117
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 13, 2009
Last NPPES UpdateJuly 5, 2023
✔ NPI 1598994535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in NY · 0174121✔ Licensed in NY · 017412-1✔ Licensed in NY · 174121
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
UNIVERSITY OF ROCHESTER MEDICAL CTR, Rochester, NY 14642

Other Identifiers 1

Medicaid03166387NY

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

Dr. Marc T Swogger Ph.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 ID1456490895
PECOS Enrollment IDI20091125000138
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 Reassignments

2

Medicare enrollment records show Marc Swogger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
300 CRITTENDEN BLVD
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
Hospice and Palliative Medicine
601 ELMWOOD AVE, BOX 601
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 34 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

80.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.76
Promoting Interoperability100
Improvement Activities40
Cost30.21

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Pulmonary Disease)
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVENUE, BOX 626
ROCHESTER, NY 14642
Radiology (Pediatric Radiology)
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Nurse Practitioner (Family)
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVE
ROCHESTER, NY 14642
Pathology (Anatomic Pathology & Clinical Pathology)
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVENUE, BOX 626
ROCHESTER, NY 14642
Counselor (Mental Health)
UNIVERSITY OF ROCHESTER MEDICAL CTR, 300 CRITTENDEN BLVD., BOX PSYCHIATRY
ROCHESTER, NY 14642
Pathology (Anatomic Pathology)
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVE, BOX 626
ROCHESTER, NY 14642
Anesthesiology
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVE, BOX 604
ROCHESTER, NY 14642

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 Marc Swogger's NPI number?

The NPI number for Marc Swogger is 1598994535. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Marc Swogger located?

Marc Swogger practices at University Of Rochester Medical Ctr 300 Crittenden Blvd., Rochester, NY 14642. The listed phone number is (585) 275-7418.

What is Marc Swogger's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Marc Swogger enrolled in Medicare?

Yes. Marc Swogger 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 organizations bill Medicare for Marc Swogger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Swogger reassigns Medicare benefits to 2 organizations: University Of Rochester Department Of Psychiatry Clinical Group (Rochester, NY) and Strong Palliative Care Group (Rochester, NY). Each 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 Marc Swogger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marc Swogger was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.