DR. MARK SWANSON O.D.
NPI 1942213251
Optometrist in Birmingham, AL

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294(205) 975-2020(205) 934-6755 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark Swanson O.d. NPPES

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

DR. MARK SWANSON O.D. (NPI 1942213251) is an individual optometrist in Birmingham, Alabama, licensed in Alabama (S593TA168) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1985).

NPPES Registry Identity

NPI1942213251
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK SWANSONCredential: O.D.
Location Address1716 UNIVERSITY BLVD, HPB G080ABirmingham, AL 35294-0001
Mailing Address1716 University Blvd, Hpb G080aBirmingham, AL 35294-0001 · (205) 975-2020 · Fax (205) 934-6755
Fax(205) 934-6755
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1985
Enumeration DateAugust 15, 2006
Last NPPES UpdateJune 29, 2010
NPI 1942213251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in AL · S593TA168
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1716 UNIVERSITY BLVD, Birmingham, AL 35294

Other Identifiers 11

Medicare NSC0279620003
Medicare NSC0279620004
Other51059978AL · Bcbs Of Alabama
Medicare ID-Type Unspecified410021309AL · Railroad
Medicaid000059988AL
OtherT69085AL · Viva
Medicare PIN000059978AL
Medicare PIN000059988AL
Other51059988AL · Bcbs
Medicaid000059978AL
Medicare UPINT69085

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

Dr. Mark Swanson O.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 ID5092831453
PECOS Enrollment IDI20100923000545
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 5

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
47 services47 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
43 services40 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
39 services30 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
23 services23 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35294 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Optometrist
1716 UNIVERSITY BLVD, HBP G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD, HPB G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD, HPB G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD, HPB G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD, HPB G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD, HPB G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD, HPB G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD, HPB G080A
BIRMINGHAM, AL 35294

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 Mark Swanson's NPI number?

The NPI number for Mark Swanson is 1942213251. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Mark Swanson located?

Mark Swanson practices at 1716 University Blvd Hpb G080a, Birmingham, AL 35294. The listed phone number is (205) 975-2020.

What is Mark Swanson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mark Swanson enrolled in Medicare?

Yes. Mark 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 Mark Swanson accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Swanson was last updated on June 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.