JEFFERY DOUGLAS SWARTZ MD
NPI 1740247279
Family Medicine in Toledo, OH

Q: What is Jeffery Swartz's NPI number?

The NPI number for Jeffery Swartz is 1740247279. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Jeffery Swartz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Swartz was last updated on October 27, 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 April 27, 2006PECOS Enrolled

4126 N HOLLAND SYLVANIA RD STE 220, TOLEDO, OH 43623(419) 517-7600(419) 517-7610 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2020, Sep 16, 2020, Oct 11, 2018 and 2 more (5 updates tracked since 2017).

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About Jeffery Douglas Swartz Md NPPES

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

JEFFERY DOUGLAS SWARTZ MD (NPI 1740247279) is an individual family medicine provider in Toledo, Ohio, licensed in Ohio (35.047298) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Waterville.

NPPES Registry Identity

NPI1740247279

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJEFFERY DOUGLAS SWARTZCredential: MD

Location Address4126 N HOLLAND SYLVANIA RD STE 220Toledo, OH 43623-3537

Mailing Address2200 Jefferson Ave Fl 5Toledo, OH 43604-7102

Phone(419) 517-7600

Fax(419) 517-7610

Sole ProprietorNo

Enumeration DateApril 27, 2006

Last NPPES UpdateOctober 27, 20205 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1740247279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 35.047298✔ Licensed in SC · 33071

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4126 N HOLLAND SYLVANIA RD STE 220, Toledo, OH 43623

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Secondary Practice Location 1

Location 11222 Pray BlvdWaterville, OH 43566-8717 · Phone (419) 441-4252 · Fax (419) 441-4255

Other Identifiers 3

OtherH553010OH · Medicare

Medicaid0529075OH

Medicaid330715SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffery Douglas Swartz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

69 services67 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$61.28 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier13 claims13 services$184.07 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$31.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ASHLEY DANIELLE SMITH CNP, APRN

Nurse Practitioner (Family)