HEATHER HUNT SWALES M.D.
NPI 1922165588
Internal Medicine - Cardiovascular Disease in New Britain, CT

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
100 GRAND ST, NEW BRITAIN, CT 06052(860) 224-5694 Get Directions Write a Review

NPPES record last updated: February 2, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Heather Hunt Swales M.d. NPPES

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

HEATHER HUNT SWALES M.D. (NPI 1922165588) is an individual cardiovascular disease provider in New Britain, Connecticut, licensed in Connecticut (048719) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2004).

NPPES Registry Identity

NPI1922165588
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameHEATHER HUNT SWALESCredential: M.D.
Location Address100 GRAND STNew Britain, CT 06052-2016
Mailing AddressPo Box 40,000 Dept 634, Hartford Hospital Professional ServicesHartford, CT 06151-0634 · (860) 545-7602
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2004
Enumeration DateJanuary 3, 2007
Last NPPES UpdateFebruary 2, 2018
✔ NPI 1922165588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CT · 048719
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 221550 (MA)
100 GRAND ST, New Britain, CT 06052

Other Identifiers 1

MedicaidPENDINGCT

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

Heather Hunt Swales 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 ID6709918337
PECOS Enrollment IDI20100719000161
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

4

Medicare enrollment records show Heather Swales reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group
General Acute Care Hospital
112 MANSFIELD AVE
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 302 clinicians in this Medicare group
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1770696643 (Connecticut)
  • 1,333 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 15

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
126 services115 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
97 services97 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services63 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.
41 services38 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
25 services25 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

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.

Internal Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Hospitalist
100 GRAND ST
NEW BRITAIN, CT 06052
Pathology (Anatomic Pathology & Clinical Pathology)
100 GRAND ST
NEW BRITAIN, CT 06052
Physician Assistant (Medical)
100 GRAND ST
NEW BRITAIN, CT 06052
Psychiatry & Neurology (Neurology)
100 GRAND ST
NEW BRITAIN, CT 06052
Social Worker (Clinical)
100 GRAND ST
NEW BRITAIN, CT 06052
Emergency Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Radiology (Diagnostic Radiology)
100 GRAND ST
NEW BRITAIN, CT 06052

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 Heather Swales's NPI number?

The NPI number for Heather Swales is 1922165588. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Heather Swales located?

Heather Swales practices at 100 Grand St, New Britain, CT 06052. The listed phone number is (860) 224-5694.

What is Heather Swales's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Heather Swales enrolled in Medicare?

Yes. Heather Swales 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 Heather Swales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Swales reassigns Medicare benefits to 4 organizations: The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Windham Community Memorial Hospital, Inc. (Willimantic, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and Hartford Hospital (Hartford, CT). 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 Heather Swales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Swales accept?

Health plans from Anthem Blue Cross and Blue Shield list Heather Swales 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 Heather Swales was last updated on February 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.