MATTHEW JOHN SWANIC MD
NPI 1659496909
Ophthalmology in Las Vegas, NV

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
89.71/100
CMS Quality Rating
9555 S EASTERN AVE STE 260, LAS VEGAS, NV 89123(702) 816-2525(702) 586-3562 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew John Swanic Md NPPES

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

MATTHEW JOHN SWANIC MD (NPI 1659496909) is an individual ophthalmology provider in Las Vegas, Nevada, licensed in Nevada (13823) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (2006).

NPPES Registry Identity

NPI1659496909
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMATTHEW JOHN SWANICCredential: MD
Location Address9555 S EASTERN AVE STE 260Las Vegas, NV 89123-8008
Mailing Address9555 S Eastern Ave Ste 260Las Vegas, NV 89123-8008 · (702) 816-2525 · Fax (702) 586-3562
Fax(702) 586-3562
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2006
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 11, 2016
NPI 1659496909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NV · 13823
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

9555 S EASTERN AVE STE 260, Las Vegas, NV 89123

Other Identifiers 2

OtherV106518NV · Medicare Ptan
Medicaid1659496909NV

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

Matthew John Swanic 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 ID2466584040
PECOS Enrollment IDI20120801000265
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 16

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
502 services264 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
214 services201 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
150 services91 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
137 services46 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
128 services123 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.
91 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89123 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

89.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.61
Improvement Activities40
Cost71.56

Reported Quality Measures

Diabetes: Eye Exam
100%120 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
28%65 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,502 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
81%230 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%179 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 884 patients
Patients totalRate: 0% · 884 patients
0%884 patients5/55-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 2

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

Family Medicine
9555 S EASTERN AVE STE 260
LAS VEGAS, NV 89123
Nurse Practitioner (Family)
9555 S EASTERN AVE STE 260
LAS VEGAS, NV 89123

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 Matthew Swanic's NPI number?

The NPI number for Matthew Swanic is 1659496909. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Matthew Swanic located?

Matthew Swanic practices at 9555 S Eastern Ave Ste 260, Las Vegas, NV 89123. The listed phone number is (702) 816-2525.

What is Matthew Swanic's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Matthew Swanic enrolled in Medicare?

Yes. Matthew Swanic 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 Matthew Swanic was last updated on July 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.