KAREN SWARTS M.D. - NPI 1942238845 - Pediatrics in Middletown, OH

Q: What is Karen Swarts's NPI number?

The NPI number for Karen Swarts is 1942238845. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Karen Swarts's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Swarts was last updated on July 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Karen Swarts M.d. NPPES

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

KAREN SWARTS M.D. (NPI 1942238845) is an individual pediatrics provider in Middletown, Ohio, licensed in Ohio (35.084921) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942238845

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKAREN SWARTSCredential: M.D.

Location Address231 N BREIEL BLVDMiddletown, OH 45042-3807

Mailing Address3420 Atrium Blvd Ste 102Middletown, OH 45005-5186 · (513) 318-1188 · Fax (513) 318-1189

Phone(513) 318-1188

Fax(513) 318-1189

Sole ProprietorYes

Enumeration DateJune 29, 2006

Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1942238845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OH · 35.084921

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

231 N BREIEL BLVD, Middletown, OH 45042

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1333 Conover Dr Ste BFranklin, OH 45005-1900 · Phone (513) 318-1188 · Fax (513) 318-1189

Location 2333 Conover Dr Ste DFranklin, OH 45005-1900 · Phone (513) 318-1188 · Fax (513) 318-1189

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Swarts M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45042 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 8

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

MS. BARBARA LOUISE WISE CNP

Nurse Practitioner