PAUL MATHEW SWANSON MD
NPI 1861448243
Internal Medicine - Hematology & Oncology in Port St Lucie, FL

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
89.51/100
CMS Quality Rating
1871 SE TIFFANY AVE, SUITE 100, PORT ST LUCIE, FL 34952(772) 335-5666(772) 335-4826 Get Directions Write a Review

NPPES record last updated: July 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Mathew Swanson Md NPPES

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

PAUL MATHEW SWANSON MD (NPI 1861448243) is an individual hematology & oncology provider in Port St Lucie, Florida, licensed in Florida (0075493) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Vanderbilt University School Of Medicine (1992).

NPPES Registry Identity

NPI1861448243
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NamePAUL MATHEW SWANSONCredential: MD
Location Address1871 SE TIFFANY AVE, SUITE 100Port St Lucie, FL 34952-7585
Mailing Address1871 Se Tiffany Ave, Suite 100Port St Lucie, FL 34952-7585 · (772) 335-5666 · Fax (772) 335-4826
Fax(772) 335-4826
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1992
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 14, 2010
NPI 1861448243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in FL · 0075493
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1871 SE TIFFANY AVE, Port St Lucie, FL 34952

Other Identifiers 6

Medicare PINE0723FL
Other900002186FL · Railroad Medicare
Other0075493FL · State License Number
Other43952FL · Blue Cross Blue Shield
Medicare UPINF73315FL
Medicaid254047900FL

Accepted 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

Paul Mathew Swanson Md 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 ID9436250636
PECOS Enrollment IDI20100818000493
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 64

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.

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
24,480 services28 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
22,800 services26 patients
Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram Q5110
Filgrastim-aafi (Nivestym) is a biosimilar injection used to stimulate the growth of white blood cells, which help the body fight off infections. It's often given to patients with low white blood cell counts due to cancer treatments or other conditions.
21,180 services17 patients
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units Q5106
Epoetin alfa-epbx (Retacrit) is a biosimilar injection used for non-ESRD (End-Stage Renal Disease). It helps your body make more red blood cells, increasing your energy and well-being. It's usually given under the skin or into a vein by a healthcare professional.
4,390 services19 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,140 services20 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
2,236 services660 patients

Hospital Affiliations CMS Care Compare 3

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100246
Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County
Emergency services Birthing friendly

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.7
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers25 claims1,876 services$0.68 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers15 claims15 services$19.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Hematology & Oncology)
1871 SE TIFFANY AVE, SUITE 100
PORT ST LUCIE, FL 34952
Internal Medicine (Hematology & Oncology)
1871 SE TIFFANY AVE, SUITE 100
PORT ST LUCIE, FL 34952
Advanced Practice Midwife
1871 SE TIFFANY AVE, SUITE 200
PORT ST LUCIE, FL 34952
Advanced Practice Midwife
1871 SE TIFFANY AVE, SUITE 200
PORT ST LUCIE, FL 34952
Nurse Practitioner (Family)
1871 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Advanced Practice Midwife
1871 SE TIFFANY AVE, SUITE 200
PORT ST LUCIE, FL 34952
Emergency Medicine
1871 SE TIFFANY AVE, STE 210
PORT ST LUCIE, FL 34952
Internal Medicine (Hematology & Oncology)
1871 SE TIFFANY AVE, SUITE 100
PORT ST LUCIE, FL 34952

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 Paul Swanson's NPI number?

The NPI number for Paul Swanson is 1861448243. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Paul Swanson located?

Paul Swanson practices at 1871 SE Tiffany Ave Suite 100, Port St Lucie, FL 34952. The listed phone number is (772) 335-5666.

What is Paul Swanson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Paul Swanson enrolled in Medicare?

Yes. Paul 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 Paul Swanson accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Paul 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 Paul Swanson affiliated with any hospitals?

According to CMS data, Paul Swanson is affiliated with Cleveland Clinic Martin North Hospital, Hca Florida Lawnwood Hospital and St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Swanson was last updated on July 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.