DR. TERRELL J. SWANSON M.D.
NPI 1740488469
Emergency Medicine in Jacksonville, FL

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
4311 SALISBURY RD, JACKSONVILLE, FL 32216(904) 641-6628 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Terrell J. Swanson M.d. NPPES

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

DR. TERRELL J. SWANSON M.D. (NPI 1740488469) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME111251) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Memorial Hospital, and is a graduate of University Of Oklahoma College Of Medicine (2007).

NPPES Registry Identity

NPI1740488469
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TERRELL J. SWANSONCredential: M.D.
Location Address4311 SALISBURY RDJacksonville, FL 32216-6123
Mailing Address10961 Burnt Mill Rd, #828Jacksonville, FL 32256-4654 · (904) 333-8605
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2007
Enumeration DateJuly 3, 2007
Last NPPES UpdateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1740488469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in FL · ME111251✔ Licensed in GA · 65801
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPediatricsTaxonomy 208000000X · License 25845 (OK)
4311 SALISBURY RD, Jacksonville, FL 32216

Other Names 1

Professional Name (2)Dr. T. John Swanson M.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Terrell J. 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 ID4486825320
PECOS Enrollment IDI20120127000327
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Terrell Swanson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
4201 BELFORT RD
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 367 clinicians in this Medicare group
Emergency Medicine
865 S 1ST ST
Jesup, GA 31545
  • Reassigned Medicare billing, Georgia enrollment
  • 57 clinicians in this Medicare group
Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
Emergency Medicine
2674 CAPITAL CIR SE
Tallahassee, FL 32311
  • Reassigned Medicare billing, Florida enrollment
  • 82 clinicians in this Medicare group
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
63 services55 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
62 services57 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Physician Assistant
4311 SALISBURY RD
JACKSONVILLE, FL 32216
Physician Assistant
4311 SALISBURY RD
JACKSONVILLE, FL 32216
Nurse Practitioner (Family)
4311 SALISBURY RD
JACKSONVILLE, FL 32216
Nurse Practitioner (Family)
4311 SALISBURY RD
JACKSONVILLE, FL 32216
Emergency Medicine
4311 SALISBURY RD
JACKSONVILLE, FL 32216
Nurse Practitioner (Obstetrics & Gynecology)
4311 SALISBURY RD
JACKSONVILLE, FL 32216
Physician Assistant (Medical)
4311 SALISBURY RD
JACKSONVILLE, FL 32216
Physician Assistant (Medical)
4311 SALISBURY RD
JACKSONVILLE, FL 32216

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 Terrell Swanson's NPI number?

The NPI number for Terrell Swanson is 1740488469. It was assigned to this individual provider in the NPPES registry on July 3, 2007. The provider is also known as Dr. T. John Swanson M.D..

Where is Terrell Swanson located?

Terrell Swanson practices at 4311 Salisbury Rd, Jacksonville, FL 32216. The listed phone number is (904) 641-6628.

What is Terrell Swanson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Terrell Swanson enrolled in Medicare?

Yes. Terrell 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.

Which organizations bill Medicare for Terrell Swanson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terrell Swanson reassigns Medicare benefits to 5 organizations: Cep America LLC (Jacksonville, FL), Wayne Emergency Group LLC (Jesup, GA), Paragon Emergency Services LLC (Winter Haven, FL), Lake Oliver Emergency Group, LLC (Tallahassee, FL) and Emergency Medicine Services Of Fl, LLC (Aventura, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Terrell Swanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terrell Swanson accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Terrell 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 Terrell Swanson affiliated with any hospitals?

According to CMS data, Terrell Swanson is affiliated with Hca Florida Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Terrell Swanson was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.