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DR. KENNETH ANDREW SWANSON D.O.
NPI 1730541285
Internal Medicine - Infectious Disease in Milwaukee, WI

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
2801 W KINNICKINNIC RIVER PKWY STE 436, MILWAUKEE, WI 53215(414) 649-3577(414) 649-3753 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 22, 2024, Nov 29, 2021, Sep 9, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Kenneth Andrew Swanson D.o. NPPES

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

DR. KENNETH ANDREW SWANSON D.O. (NPI 1730541285) is an individual infectious disease provider in Milwaukee, Wisconsin, licensed in Wisconsin (70647) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730541285
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. KENNETH ANDREW SWANSONCredential: D.O.
Location Address2801 W KINNICKINNIC RIVER PKWY STE 436Milwaukee, WI 53215-3678
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 649-3577
Fax(414) 649-3753
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2016
Enumeration DateMarch 23, 2016
Last NPPES UpdateJuly 22, 20246 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1730541285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in WI · 70647
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 70647-21 (WI)
2801 W KINNICKINNIC RIVER PKWY STE 436, Milwaukee, WI 53215
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Secondary Practice Locations 2

Location 18701 W Watertown Plank RdMilwaukee, WI 53226-3548 · Phone (414) 955-4578 · Fax (414) 955-6409
Location 29200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-3000

Other Identifiers 1

Medicaid100090491WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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. Kenneth Andrew Swanson D.o. 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 ID4284927328
PECOS Enrollment IDI20210802000034
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
518 services101 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.
96 services41 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.
71 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.
56 services31 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.
38 services29 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.
31 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 3

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

DR. DONNA I WHITTLE MD
Internal Medicine (Infectious Disease)
2801 W KINNICKINNIC RIVER PKWY STE 436
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3577
TYLER REHMAN DO
Internal Medicine (Infectious Disease)
2801 W KINNICKINNIC RIVER PKWY STE 436
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3577
MELANIE S FALSETTI NP
Nurse Practitioner
2801 W KINNICKINNIC RIVER PKWY STE 436
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3577

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 Kenneth Swanson's NPI number?

The NPI number for Kenneth Swanson is 1730541285. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Kenneth Swanson located?

Kenneth Swanson practices at 2801 W Kinnickinnic River Pkwy Ste 436, Milwaukee, WI 53215. The listed phone number is (414) 649-3577.

What is Kenneth Swanson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Kenneth Swanson enrolled in Medicare?

Yes. Kenneth 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.

What insurance does Kenneth Swanson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Kenneth Swanson 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 Kenneth Swanson affiliated with any hospitals?

According to CMS data, Kenneth Swanson is affiliated with Aurora St Lukes Medical Center and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Swanson was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.