LACEY MIMS SWENSON M.D.
NPI 1851770424
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Active since May 28, 2015PECOS EnrolledAccepts Medicare Assignment
84.17/100
CMS Quality Rating
840 MONTCLAIR RD, SUITE 317, BIRMINGHAM, AL 35213(205) 599-4822 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lacey Mims Swenson M.d. NPPES

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

LACEY MIMS SWENSON M.D. (NPI 1851770424) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851770424
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLACEY MIMS SWENSONCredential: M.D.
Location Address840 MONTCLAIR RD, SUITE 317Birmingham, AL 35213-1920
Mailing Address840 Montclair Rd, Suite 317Birmingham, AL 35213-1920
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 28, 2015
✔ NPI 1851770424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
840 MONTCLAIR RD, Birmingham, AL 35213

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

Lacey Mims Swenson 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 ID3476977414
PECOS Enrollment IDI20200722004015
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

2

Medicare enrollment records show Lacey Swenson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1700 6TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
Family Medicine
3316 HIGHWAY 280
Alexander City, AL 35010
  • Reassigned Medicare billing, Alabama enrollment
  • 83 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 4

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
43 services43 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.
28 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

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.

84.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.1
Promoting Interoperability100
Improvement Activities40
Cost70.15

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.

Specialist
840 MONTCLAIR RD, SUITE 606
BIRMINGHAM, AL 35213
Family Medicine
840 MONTCLAIR RD, SUITE 707
BIRMINGHAM, AL 35213
Nurse Practitioner (Pediatrics)
840 MONTCLAIR RD, SUITE 617
BIRMINGHAM, AL 35213
Surgery
840 MONTCLAIR RD, SUITE 317
BIRMINGHAM, AL 35213
Radiology (Diagnostic Radiology)
840 MONTCLAIR RD, SUITE 317
BIRMINGHAM, AL 35213
Radiology (Diagnostic Radiology)
840 MONTCLAIR RD, SUITE 317
BIRMINGHAM, AL 35213
Internal Medicine
840 MONTCLAIR RD, SUITE 317
BIRMINGHAM, AL 35213
Student in an Organized Health Care Education/Training Program
840 MONTCLAIR RD, SUITE 317
BIRMINGHAM, AL 35213

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 Lacey Swenson's NPI number?

The NPI number for Lacey Swenson is 1851770424. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Lacey Swenson located?

Lacey Swenson practices at 840 Montclair Rd Suite 317, Birmingham, AL 35213. The listed phone number is (205) 599-4822.

What is Lacey Swenson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lacey Swenson enrolled in Medicare?

Yes. Lacey Swenson 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 Lacey Swenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Swenson reassigns Medicare benefits to 2 organizations: University Of Alabama Health Services Foundation PC (Birmingham, AL) and Russell Hospital Corporation (Alexander City, AL). 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 Lacey Swenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacey Swenson accept?

Health plans from Blue Cross and Blue Shield of Alabama list Lacey Swenson 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 Lacey Swenson was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.