DR. ERIC CARL SWENSEN M.D.
NPI 1679669139
Psychiatry & Neurology - Psychiatry in Moorhead, MN

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
4000 28TH AVE S, MOORHEAD, MN 56560(701) 234-3200 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Eric Carl Swensen M.d. NPPES

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

DR. ERIC CARL SWENSEN M.D. (NPI 1679669139) is an individual psychiatry provider in Moorhead, Minnesota, licensed in North Dakota (9546) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1679669139
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ERIC CARL SWENSENCredential: M.D.
Location Address4000 28TH AVE SMoorhead, MN 56560-7926
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (701) 234-3200
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2002
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1679669139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in ND · 9546
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4000 28TH AVE S, Moorhead, MN 56560

Secondary Practice Location 1

Location 11720 University Dr SFargo, ND 58103-4940 · Phone (701) 280-4140

Other Identifiers 1

Medicaid476753500MN

Accepted 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. Eric Carl Swensen 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 ID6800877796
PECOS Enrollment IDI20040526001304, I20150810001677
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 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.
58 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services24 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.
37 services23 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56560 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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.

Nurse Practitioner
4000 28TH AVE S
MOORHEAD, MN 56560
Nurse Practitioner (Psychiatric/Mental Health)
4000 28TH AVE S
MOORHEAD, MN 56560
Family Medicine
4000 28TH AVE S
MOORHEAD, MN 56560
Counselor
4000 28TH AVE S
MOORHEAD, MN 56560
Pediatrics
4000 28TH AVE S
MOORHEAD, MN 56560
Nurse Practitioner
4000 28TH AVE S
MOORHEAD, MN 56560
Internal Medicine
4000 28TH AVE S
MOORHEAD, MN 56560
Nurse Practitioner
4000 28TH AVE S
MOORHEAD, MN 56560

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 Eric Swensen's NPI number?

The NPI number for Eric Swensen is 1679669139. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Eric Swensen located?

Eric Swensen practices at 4000 28th Ave S, Moorhead, MN 56560. The listed phone number is (701) 234-3200.

What is Eric Swensen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Eric Swensen enrolled in Medicare?

Yes. Eric Swensen 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 Eric Swensen accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Eric Swensen 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 Eric Swensen affiliated with any hospitals?

According to CMS data, Eric Swensen is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Eric Swensen was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.