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DR. ASHLEIGH NICOLE SWEARINGEN M.D.
NPI 1609259142
Obstetrics & Gynecology in New Ulm, MN

Active since July 01, 2015PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
1324 5TH ST N, NEW ULM, MN 56073(507) 217-5000 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2020, May 22, 2019 (2 updates tracked since 2019).

About Dr. Ashleigh Nicole Swearingen M.d. NPPES

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

DR. ASHLEIGH NICOLE SWEARINGEN M.D. (NPI 1609259142) is an individual obstetrics & gynecology provider in New Ulm, Minnesota, licensed in Minnesota (64942) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with New Ulm Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609259142
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ASHLEIGH NICOLE SWEARINGENCredential: M.D.
Location Address1324 5TH ST NNew Ulm, MN 56073-1514
Mailing Address1324 5th St NNew Ulm, MN 56073-1514 · (847) 313-0916
Phone(507) 217-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 1, 2015
Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
✔ NPI 1609259142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MN · 64942✔ Licensed in IL · 125067516
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1324 5TH ST N, New Ulm, MN 56073
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Secondary Practice Locations 2

Location 11500 S Fairfield AveChicago, IL 60608-1782 · Phone (773) 257-2222 ext. 16160
Location 22925 Chicago AveMinneapolis, MN 55407-1321 · Phone (612) 262-1922 · Fax (612) 262-1987

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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. Ashleigh Nicole Swearingen 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 ID3476880113
PECOS Enrollment IDI20190803000121
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 3

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.
49 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

New Ulm Medical Center

Critical Access Hospitals · New Ulm, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241378
Location1324 Fifth North StreetNew Ulm, MN 56073 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56073 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

BRENDA PADILLA
Social Worker (Clinical)
1324 5TH ST N
NEW ULM, MN 56073
Brown County (507) 217-5199
SHIRLEY J STEELE CRNA
Nurse Anesthetist, Certified Registered
1324 5TH ST N
NEW ULM, MN 56073
Brown County (507) 233-1000
CLAIRE BYERS OTR/L
Occupational Therapist
1324 5TH ST N
NEW ULM, MN 56073
Brown County (507) 217-5000
NATHAN MICHAEL HOLM APRN CNP DNP
Nurse Practitioner (Psychiatric/Mental Health)
1324 5TH ST N
NEW ULM, MN 56073
Brown County (507) 217-5000
DR. CHRISTOPHER PAUL MASON D.O., M.S.
Emergency Medicine
1324 5TH ST N
NEW ULM, MN 56073
Brown County (507) 217-5000
MS. ERIN ALINE ASHBY CRNA
Nurse Anesthetist, Certified Registered
1324 5TH ST N
NEW ULM, MN 56073
Brown County (507) 233-1000
BENJAMIN D KNUTSON MD
Emergency Medicine
1324 5TH ST N
NEW ULM, MN 56073
Brown County (507) 217-5000
JESSICA KRAL
Physical Therapist
1324 5TH ST N
NEW ULM, MN 56073
Brown County (507) 217-5173

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 Ashleigh Swearingen's NPI number?

The NPI number for Ashleigh Swearingen is 1609259142. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Ashleigh Swearingen located?

Ashleigh Swearingen practices at 1324 5th St N, New Ulm, MN 56073. The listed phone number is (507) 217-5000.

What is Ashleigh Swearingen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ashleigh Swearingen enrolled in Medicare?

Yes. Ashleigh Swearingen 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 Ashleigh Swearingen accept?

Health plans from HealthPartners and Medica list Ashleigh Swearingen 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 Ashleigh Swearingen affiliated with any hospitals?

According to CMS data, Ashleigh Swearingen is affiliated with New Ulm Medical Center.

When was this NPI record last updated?

The NPPES record for Ashleigh Swearingen was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.