DR. BARBARA E SWARTZ MD, PHD
NPI 1811082324
Psychiatry & Neurology - Epilepsy in Wyoming, MI

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
2122 HEALTH DR SW STE 160, WYOMING, MI 49519(616) 252-5790 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2025, Dec 6, 2023, Oct 21, 2021 (3 updates tracked since 2021).

About Dr. Barbara E Swartz Md, Phd NPPES

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

DR. BARBARA E SWARTZ MD, PHD (NPI 1811082324) is an individual epilepsy provider in Wyoming, Michigan, licensed in Illinois (036167323) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1811082324
Entity TypeIndividualFemale
Primary Taxonomy2084E0001X
Provider Legal NameDR. BARBARA E SWARTZCredential: MD, PHD
Location Address2122 HEALTH DR SW STE 160Wyoming, MI 49519-9402
Mailing Address2122 Health Dr Sw Ste 160Wyoming, MI 49519-9402 · (616) 252-5790
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1811082324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians
Taxonomy Code2084E0001X
License✔ Licensed in IL · 036167323
Definition
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 4301502481 (MI), 111NN0400X (CA), 15026 (NV)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 036167323 (IL)
2122 HEALTH DR SW STE 160, Wyoming, MI 49519

Secondary Practice Location 1

Location 1200 E Pennsylvania AvePeoria, IL 61603-3089 · Phone (309) 624-4000 · Fax (309) 624-4010

Other Identifiers 2

Other10974294Caqh
Medicaid1811082324NV

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. Barbara E Swartz Md, Phd 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 ID6507928884
PECOS Enrollment IDI20231215002194
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

4

Medicare enrollment records show Barbara Swartz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
  • Reassigned Medicare billing, Michigan enrollment
  • 685 clinicians in this Medicare group
Emergency Medicine
39000 BOB HOPE DR
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 122 clinicians in this Medicare group
Neurological Surgery
26520 CACTUS AVE STE A2006
Moreno Valley, CA 92555
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
7475 CAMINO ARROYO
Gilroy, CA 95020
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1629301346 (California), NPI 1043354020 (California)
  • 2,460 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.

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.
15 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

Physician Assistant
2122 HEALTH DR SW STE 160
WYOMING, MI 49519
Physician Assistant
2122 HEALTH DR SW STE 160
WYOMING, MI 49519

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 Barbara Swartz's NPI number?

The NPI number for Barbara Swartz is 1811082324. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Barbara Swartz located?

Barbara Swartz practices at 2122 Health Dr SW Ste 160, Wyoming, MI 49519. The listed phone number is (616) 252-5790.

What is Barbara Swartz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Is Barbara Swartz enrolled in Medicare?

Yes. Barbara Swartz 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 Barbara Swartz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Swartz reassigns Medicare benefits to 4 organizations: Metropolitan Hospital (Wyoming, MI), Emergency Associates Corporation (Rancho Mirage, CA), Arrowhead Neurosurgical Medical Group, Inc. (Moreno Valley, CA) and County Of Santa Clara (Gilroy, CA). 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 Barbara Swartz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barbara Swartz accept?

Health plans from CareSource and Priority Health list Barbara Swartz 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 Barbara Swartz affiliated with any hospitals?

According to CMS data, Barbara Swartz is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Barbara Swartz was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.