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SARAH SWANHOLM
NPI 1750616835
Optometrist in Fargo, ND

Active since October 07, 2009PECOS EnrolledAccepts Medicare Assignment
69.23/100
CMS Quality Rating
4344 20TH AVE S, FARGO, ND 58103(701) 293-8242 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sarah Swanholm NPPES

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

SARAH SWANHOLM (NPI 1750616835) is an individual optometrist in Fargo, North Dakota, licensed in North Dakota (702) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2012).

NPPES Registry Identity

NPI1750616835
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSARAH SWANHOLM
Location Address4344 20TH AVE SFargo, ND 58103-7436
Mailing Address117 Woodland Dr NFargo, ND 58102-2414
Phone(701) 293-8242
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2012
Enumeration DateOctober 7, 2009
Last NPPES UpdateMay 10, 2017
✔ NPI 1750616835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ND · 702
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4344 20TH AVE S, Fargo, ND 58103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Sarah Swanholm 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 ID1355582073
PECOS Enrollment IDI20130723000581
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 8

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 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.
320 services320 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.
70 services60 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).
67 services65 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.
61 services60 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.
23 services22 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

69.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.93
Improvement Activities40
Cost18.85

Other Providers at the Same Location NPPES 9

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

LASER & SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
4344 20TH AVE S
FARGO, ND 58103
Cass County (701) 293-8242
STEVEN M BAGAN, MD PC
Ophthalmology
4344 20TH AVE S
FARGO, ND 58103
Cass County (701) 293-8242
FACE AND JAW SURGEONS PC
Dentist (Oral and Maxillofacial Surgery)
4344 20TH AVE S, STE 2
FARGO, ND 58103
Cass County (701) 239-5969
SLENDERLITE, LLC
Clinic/Center
4344 20TH AVE S
FARGO, ND 58103
Cass County (701) 277-7200
VISION OPTICAL LLC
Eyewear Supplier
4344 20TH AVE S
FARGO, ND 58103
Cass County (701) 293-8242
STEVEN M BAGAN M.D.
Ophthalmology
4344 20TH AVE S
FARGO, ND 58103
Cass County (701) 293-8242
DR. JONATHAN RUSSELL GRAY DDS
Dentist (Oral and Maxillofacial Surgery)
4344 20TH AVE S
FARGO, ND 58103
Cass County (701) 239-5969
CHARLES A CRAGO DMD, MD
Dentist (Oral and Maxillofacial Surgery)
4344 20TH AVE S, SUITE 2
FARGO, ND 58103
Cass County (701) 239-5969

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 Sarah Swanholm's NPI number?

The NPI number for Sarah Swanholm is 1750616835. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Where is Sarah Swanholm located?

Sarah Swanholm practices at 4344 20th Ave S, Fargo, ND 58103. The listed phone number is (701) 293-8242.

What is Sarah Swanholm's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sarah Swanholm enrolled in Medicare?

Yes. Sarah Swanholm 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 Sarah Swanholm accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Sarah Swanholm 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.

When was this NPI record last updated?

The NPPES record for Sarah Swanholm was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.