DR. KATHRYN A SWANSON M.D.
NPI 1639189459
Internal Medicine - Gastroenterology in Monterey, CA

Q: What is Kathryn Swanson's NPI number?

The NPI number for Kathryn Swanson is 1639189459. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Kathryn Swanson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Swanson was last updated on December 18, 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.

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment

83.78/100

CMS Quality Rating

23 UPPER RAGSDALE DR, SUITE 200, MONTEREY, CA 93940(831) 375-3577(831) 375-3577 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kathryn A Swanson M.d. NPPES

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

DR. KATHRYN A SWANSON M.D. (NPI 1639189459) is an individual gastroenterology provider in Monterey, California, licensed in California (G65595) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1987).

NPPES Registry Identity

NPI1639189459

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameDR. KATHRYN A SWANSONCredential: M.D.

Location Address23 UPPER RAGSDALE DR, SUITE 200Monterey, CA 93940-5771

Mailing Address23 Upper Ragsdale Dr, Suite 200Monterey, CA 93940-5771 · (831) 375-3577 · Fax (831) 375-3577

Phone(831) 375-3577

Fax(831) 375-3577

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1987

Enumeration DateAugust 8, 2006

Last NPPES UpdateDecember 18, 2020

NPPES CertifiedDecember 18, 2020

✔ NPI 1639189459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · G65595

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

23 UPPER RAGSDALE DR, Monterey, CA 93940

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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. Kathryn A Swanson 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 ID4183793680

PECOS Enrollment IDI20080524000047

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 15

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

90 services90 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

63 services63 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

63 services63 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.

57 services57 patients

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.

42 services41 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

41 services41 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

25 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

22 services22 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.

21 services21 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

20 services20 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

20 services20 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

19 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

18 services18 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

15 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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

$139.84 typical visit price

range $61.69 – $184.30

Typical copayment $34.96 (range $15.42 – $46.07)

Most-billed visit code 99204

Established Patient

$108.04 typical visit price

range $20.34 – $151.02

Typical copayment $27.01 (range $5.08 – $37.75)

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.

83.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.86

Promoting Interoperability

Improvement Activities

Cost

70.65

Reported Quality Measures

Advance Care Plan

87%547 patients4/55-star benchmark: 100%

Colorectal Cancer Screening

88%600 patients5/55-star benchmark: 88%

Controlling High Blood Pressure

34%131 patients2/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%47 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

95%1,067 patients4/55-star benchmark: 100%

e-Prescribing

100%255 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

49%910 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

20%971 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 50% · 199 patients

50%199 patients

Provide Patients Electronic Access to Their Health Information

72%208 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

85%95 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 519 patients

Patients totalRate: 1% · 519 patients

1%519 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 16

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

DR. RICHARD WALTER HELL M.D.

Internal Medicine (Gastroenterology)

23 UPPER RAGSDALE DR, SUITE 200
MONTEREY, CA 93940

Monterey County (831) 375-3577

MONTEREY BAY GI CONSULTANTS MEDICAL GROUP INC.

Internal Medicine (Gastroenterology)

23 UPPER RAGSDALE DR, SUITE 200
MONTEREY, CA 93940

Monterey County (831) 375-3577

MS. CYNTHIA ELLEN RUSSELL-MCCLAIN N.P., P.A.-C

Nurse Practitioner

23 UPPER RAGSDALE DR, SUITE 200
MONTEREY, CA 93940

Monterey County (831) 375-3577

MARISSA L PAYNE AGACNP-BC

Nurse Practitioner (Acute Care)

23 UPPER RAGSDALE DR
MONTEREY, CA 93940

Monterey County (831) 375-3577

DR. MICHAEL R SMITH M.D.

Internal Medicine (Gastroenterology)

23 UPPER RAGSDALE DR, SUITE 200
MONTEREY, CA 93940

Monterey County (831) 375-3577

DR. TOBY J KATZ M.D.

Internal Medicine (Gastroenterology)

23 UPPER RAGSDALE DR, SUITE 200
MONTEREY, CA 93940

Monterey County (831) 375-3577

DR. JAMES A DI SARIO M.D.

Internal Medicine (Gastroenterology)

23 UPPER RAGSDALE DR, SUITE 200
MONTEREY, CA 93940

Monterey County (831) 375-3577

MICHAEL SANG LE M.D.

Internal Medicine (Gastroenterology)

23 UPPER RAGSDALE DR
MONTEREY, CA 93940

Monterey County (831) 375-3577

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 Kathryn Swanson's NPI number?

The NPI number for Kathryn Swanson is 1639189459. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Kathryn Swanson located?

Kathryn Swanson practices at 23 Upper Ragsdale Dr Suite 200, Monterey, CA 93940. The listed phone number is (831) 375-3577.

What is Kathryn Swanson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kathryn Swanson enrolled in Medicare?

Yes. Kathryn Swanson 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.

When was this NPI record last updated?

The NPPES record for Kathryn Swanson was last updated on December 18, 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.