DR. RACHEL MARY SWARTZ M.D.
NPI 1831220250
Obstetrics & Gynecology in Presque Isle, ME

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
140 ACADEMY ST STE 4, PRESQUE ISLE, ME 04769(207) 768-5944(207) 768-3203 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rachel Mary Swartz M.d. NPPES

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

DR. RACHEL MARY SWARTZ M.D. (NPI 1831220250) is an individual obstetrics & gynecology provider in Presque Isle, Maine, licensed in Idaho (M 9842) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Northern Light A R Gould Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2000).

NPPES Registry Identity

NPI1831220250
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. RACHEL MARY SWARTZCredential: M.D.
Location Address140 ACADEMY ST STE 4Presque Isle, ME 04769
Mailing Address140 Academy St Ste 4Presque Isle, ME 04769-3102 · (207) 768-5944 · Fax (207) 768-3203
Fax(207) 768-3203
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2000
Enumeration DateMarch 8, 2007
Last NPPES UpdateSeptember 6, 2018
NPI 1831220250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in ID · M 9842
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

140 ACADEMY ST STE 4, Presque Isle, ME 04769

Other Identifiers 5

Other000010163382ID · Blueshield Of Idaho
Medicaid807694400ID
Other77067ID · Blue Cross Of Idaho
Other000010163384ID · Blue Shield Of Idaho
Other000010163383ID · Blue Shield Of Idaho

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. Rachel Mary Swartz 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 ID8426081480
PECOS Enrollment IDI20120906000887
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 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 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.
40 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light A R Gould Hospital

Acute Care Hospitals · Presque Isle, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200018
LocationPO Box 151Presque Isle, ME 04769 · Aroostook County
Emergency services Birthing friendly

Houlton Regional Hospital

Critical Access Hospitals · Houlton, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201308
Location20 Hartford StreetHoulton, ME 04730 · Aroostook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04769 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Other Providers at the Same Location NPPES

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

Advanced Practice Midwife
140 ACADEMY ST STE 4
PRESQUE ISLE, ME 04769

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 Rachel Swartz's NPI number?

The NPI number for Rachel Swartz is 1831220250. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Rachel Swartz located?

Rachel Swartz practices at 140 Academy St Ste 4, Presque Isle, ME 04769. The listed phone number is (207) 768-5944.

What is Rachel Swartz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rachel Swartz enrolled in Medicare?

Yes. Rachel 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.

Is Rachel Swartz affiliated with any hospitals?

According to CMS data, Rachel Swartz is affiliated with Northern Light A R Gould Hospital and Houlton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Swartz was last updated on September 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.