DR. COLE JOSEPH SWISTON MD
NPI 1740741545
Ophthalmology in Duluth, MN

Q: What is Cole Swiston's NPI number?

The NPI number for Cole Swiston is 1740741545. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Cole Swiston's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cole Swiston was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 March 26, 2019PECOS EnrolledAccepts Medicare Assignment

92.06/100

CMS Quality Rating

502 E 2ND ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, Jun 13, 2023, Aug 21, 2020 (3 updates tracked since 2020).

On this page

About Dr. Cole Joseph Swiston Md NPPES

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

DR. COLE JOSEPH SWISTON MD (NPI 1740741545) is an individual ophthalmology provider in Duluth, Minnesota, licensed in Minnesota (76866) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2019).

NPPES Registry Identity

NPI1740741545

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. COLE JOSEPH SWISTONCredential: MD

Location Address502 E 2ND STDuluth, MN 55805-1913

Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364

Phone(218) 786-8364

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2019

Enumeration DateMarch 26, 2019

Last NPPES UpdateSeptember 6, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2024

✔ NPI 1740741545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in MN · 76866✔ Licensed in UT · 11899002-1205

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.

502 E 2ND ST, Duluth, MN 55805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan 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. Cole Joseph Swiston 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 ID5092133454

PECOS Enrollment IDI20240918002836

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 12

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 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.

56 services50 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.

36 services32 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.

33 services29 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

30 services29 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

29 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

22 services22 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

20 services20 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.

19 services19 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

18 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

15 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240002

Location402 East Second StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240019

Location502 East Second StreetDuluth, MN 55805 · St. Louis County

Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521329

Location3500 Tower AveSuperior, WI 54880 · Douglas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

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.

92.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.57

Promoting Interoperability

100

Improvement Activities

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.

JAMIE R SMITH OTR

Occupational Therapist

502 E 2ND ST
DULUTH, MN 55805

St. Louis County (218) 727-8762

STEPHANIE JO ANDERSON PHARMD

Pharmacist

502 E 2ND ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

LUIZ FERNANDO LEONAVICIUS GUIMARAES FRANCO M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

502 E 2ND ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

SMDC MEDICAL CENTER

General Acute Care Hospital

502 E 2ND ST
DULUTH, MN 55805

St. Louis County (218) 727-8762

ROBIN JOY ANDERSON

Psychologist

502 E 2ND ST
DULUTH, MN 55805

St. Louis County (218) 727-8762

NORLENE ANN BLESKACEK

Physical Therapist

502 E 2ND ST
DULUTH, MN 55805

St. Louis County (218) 727-8762

SARA LYNN JUNGE SLP

Speech-Language Pathologist

502 E 2ND ST
DULUTH, MN 55805

St. Louis County (218) 786-2848

DR. RICCI LEE BENDER MD

Psychiatry & Neurology (Psychiatry)

502 E 2ND ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

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 Cole Swiston's NPI number?

The NPI number for Cole Swiston is 1740741545. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Cole Swiston located?

Cole Swiston practices at 502 E 2nd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Cole Swiston's specialty?

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

Is Cole Swiston enrolled in Medicare?

Yes. Cole Swiston 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 Cole Swiston accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Cole Swiston 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 Cole Swiston affiliated with any hospitals?

According to CMS data, Cole Swiston is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Cole Swiston was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.