MADISON SHAE SWARTWOOD
NPI 1609702943
Physical Therapist in Lincoln, NE

Active since June 23, 2026Accepts Medicare Assignment
4130 PIONEER WOODS DR STE 1, LINCOLN, NE 68506(308) 293-8783 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Madison Shae Swartwood NPPES

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

MADISON SHAE SWARTWOOD (NPI 1609702943) is an individual physical therapist in Lincoln, Nebraska, licensed in Nebraska (4984) and active in the NPI registry since June 2026. She is a graduate of University Of Nebraska College Of Medicine (2026).

NPPES Registry Identity

NPI1609702943
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMADISON SHAE SWARTWOOD
Location Address4130 PIONEER WOODS DR STE 1Lincoln, NE 68506-7552
Mailing Address4130 Pioneer Woods Dr Ste 1Lincoln, NE 68506-7552 · (308) 293-8783
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2026
Enumeration DateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1609702943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NE · 4984
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4130 PIONEER WOODS DR STE 1, Lincoln, NE 68506

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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

Madison Shae Swartwood 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 ID7214401363
PECOS Enrollment IDI20260630002718

Medicare Billing Reassignment

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

Orthopaedic Surgery
4130 PIONEER WOODS DR, SUITE 1
Lincoln, NE 68506
  • Reassigned Medicare billing, Nebraska enrollment
  • Medicare enrollment name: Prairie Orthopaedic & Plastic Surgery PC
  • 19 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 68506 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

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.

Physician Assistant
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Podiatrist (Foot & Ankle Surgery)
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physical Therapist
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physical Therapist
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physician Assistant
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physician Assistant
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physician Assistant (Medical)
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Orthopaedic Surgery
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506

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 Madison Swartwood's NPI number?

The NPI number for Madison Swartwood is 1609702943. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Madison Swartwood located?

Madison Swartwood practices at 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506. The listed phone number is (308) 293-8783.

What is Madison Swartwood's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Madison Swartwood enrolled in Medicare?

Yes. Madison Swartwood 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 Madison Swartwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Swartwood reassigns Medicare benefits to Prairie Orthopaedic & Plastic Surgery, P.C. (Lincoln, NE). 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 Madison Swartwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Swartwood accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Madison Swartwood 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 Madison Swartwood was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.