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DR. ERIK A SWENSON MD
NPI 1922157239
Surgery in Orland Park, IL

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
9550 W 167TH ST, ORLAND PARK, IL 60467(708) 873-4500(708) 873-4505 Get Directions Write a Review

NPPES record last updated: December 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Erik A Swenson Md NPPES

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

DR. ERIK A SWENSON MD (NPI 1922157239) is an individual surgery provider in Orland Park, Illinois, licensed in Illinois (036.097502) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of University Of North Dakota School Of Medicine (1993).

NPPES Registry Identity

NPI1922157239
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ERIK A SWENSONCredential: MD
Location Address9550 W 167TH STOrland Park, IL 60467-5561
Mailing Address9550 W 167th StOrland Park, IL 60467-5561 · (708) 873-4500 · Fax (708) 873-4505
Phone(708) 873-4500
Fax(708) 873-4505
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1993
Enumeration DateJanuary 9, 2007
Last NPPES UpdateDecember 18, 2021
NPPES CertifiedDecember 18, 2021
✔ NPI 1922157239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036.097502
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9550 W 167TH ST, Orland Park, IL 60467
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Other Identifiers 2

Medicaid036097502IL
Other01615715IL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Erik A Swenson 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 ID648373183
PECOS Enrollment IDI20070809000115
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.

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.
77 services77 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
68 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services33 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
22 services22 patients
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.
22 services22 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60467 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 20

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

LAURA P MELONE
Nurse Practitioner (Family)
9550 W 167TH ST
ORLAND PARK, IL 60467
Cook County (708) 873-4500
CASSANDRA ADAMS LICKERT M.D.
Allergy & Immunology
9550 W 167TH ST
ORLAND PARK, IL 60467
Cook County (708) 873-4500
RAMA WAHOOD
Family Medicine
9550 W 167TH ST
ORLAND PARK, IL 60467
Cook County (708) 873-4500
DR. ASHLEY NICOLE LAURISCH DO
Internal Medicine
9550 W 167TH ST
ORLAND PARK, IL 60467
Cook County (708) 873-4500
DR. TIMOTHY SIEBACH MD
Family Medicine
9550 W 167TH ST
ORLAND PARK, IL 60467
Cook County (708) 873-4500
SCOTT O DONNELLY DO
Surgery
9550 W 167TH ST
ORLAND PARK, IL 60467
Cook County (708) 873-4500
DR. SUNIL CHERIAN JOHN MD
Internal Medicine (Rheumatology)
9550 W 167TH ST, AMG-ORLAND PARK
ORLAND PARK, IL 60467
Cook County (708) 873-4500
MRS. DONNA C WILLIAMS D.O.
Family Medicine
9550 W 167TH ST
ORLAND PARK, IL 60467
Cook County (708) 870-2620

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 Erik Swenson's NPI number?

The NPI number for Erik Swenson is 1922157239. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Erik Swenson located?

Erik Swenson practices at 9550 W 167th St, Orland Park, IL 60467. The listed phone number is (708) 873-4500.

What is Erik Swenson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Erik Swenson enrolled in Medicare?

Yes. Erik 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.

What insurance does Erik Swenson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Erik 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.

Is Erik Swenson affiliated with any hospitals?

According to CMS data, Erik Swenson is affiliated with Advocate Trinity Hospital.

When was this NPI record last updated?

The NPPES record for Erik Swenson was last updated on December 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.