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MS. SARA J SWANSON PHD
NPI 1841241528
Psychologist - Clinical in Milwaukee, WI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
9200 WEST WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - WEST, MILWAUKEE, WI 53226(414) 805-3666 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Sara J Swanson Phd NPPES

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

MS. SARA J SWANSON PHD (NPI 1841241528) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (1507) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1841241528
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMS. SARA J SWANSONCredential: PHD
Location Address9200 WEST WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - WESTMilwaukee, WI 53226
Mailing Address9200 W Wisconsin Ave, Froedtert & Med College Clin - WestMilwaukee, WI 53226-3522
Phone(414) 805-3666
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 15, 2006
Last NPPES UpdateSeptember 17, 2019
✔ NPI 1841241528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 1507
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 1507 (WI)
9200 WEST WISCONSIN AVE, Milwaukee, WI 53226
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Other Identifiers 3

Other002000136EHumana
Medicaid39103600WI
Medicaid1841241528WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica 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

Ms. Sara J Swanson 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 ID5991820219
PECOS Enrollment IDI20100909001189
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 6

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.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
127 services28 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
31 services30 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
30 services29 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
26 services25 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
23 services20 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

Other Providers at the Same Location NPPES 4

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

DR. CHRISTINE ZAINER MD
Anesthesiology
9200 WEST WISCONSIN AVE, HOSPITAL BASED @ FROEDTERT HOSP
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
DR. RONALD SIEGEL MD
Internal Medicine (Cardiovascular Disease)
9200 WEST WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - EAST
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
DR. KIMBERLEE TADDEI MD
Anesthesiology
9200 WEST WISCONSIN AVE, HOSPITAL BASED @ FROEDTERT HOSP.
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
MRS. KELLYN JEAN DOERGE PA-C
Physician Assistant
9200 WEST WISCONSIN AVE, CLINICAL CANCER CENTER 5TH FLOOR
MILWAUKEE, WI 53226
Milwaukee County (414) 805-0820

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 Sara Swanson's NPI number?

The NPI number for Sara Swanson is 1841241528. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Sara Swanson located?

Sara Swanson practices at 9200 West Wisconsin Ave Froedtert & Med College Clin - West, Milwaukee, WI 53226. The listed phone number is (414) 805-3666.

What is Sara Swanson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Sara Swanson enrolled in Medicare?

Yes. Sara 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.

What insurance does Sara Swanson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica and Network Health list Sara 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 Sara Swanson affiliated with any hospitals?

According to CMS data, Sara Swanson is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Sara Swanson was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.