JOHN MICHAEL SWANSON M.D.
NPI 1942644604
Surgery in Pittsburgh, PA

Active since April 24, 2013PECOS EnrolledAccepts Medicare Assignment
5115 CENTRE AVE, UPMC HILLMAN CANCER CENTER, PITTSBURGH, PA 15232(412) 648-6359 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 17, 2021, Mar 9, 2021, May 25, 2018 (3 updates tracked since 2018).

About John Michael Swanson M.d. NPPES

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

JOHN MICHAEL SWANSON M.D. (NPI 1942644604) is an individual surgery provider in Pittsburgh, Pennsylvania, licensed in California (A132618) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2013).

NPPES Registry Identity

NPI1942644604
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN MICHAEL SWANSONCredential: M.D.
Location Address5115 CENTRE AVE, UPMC HILLMAN CANCER CENTERPittsburgh, PA 15232-1301
Mailing Address710 Lawrence ExpySanta Clara, CA 95051-5173
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2013
Enumeration DateApril 24, 2013
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
✔ NPI 1942644604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A132618
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.
5115 CENTRE AVE, Pittsburgh, PA 15232

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

John Michael Swanson 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 ID1052699493
PECOS Enrollment IDI20210315002695
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 Reassignment

Medicare enrollment records show John Swanson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Physician Assistant (Medical)
5115 CENTRE AVE
PITTSBURGH, PA 15232
Internal Medicine (Hematology & Oncology)
5115 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232
Internal Medicine (Medical Oncology)
5115 CENTRE AVE
PITTSBURGH, PA 15232
Nurse Practitioner (Acute Care)
5115 CENTRE AVE
PITTSBURGH, PA 15232
Internal Medicine (Pulmonary Disease)
5115 CENTRE AVE, HILLMAN CANCE CENTER 2ND FLOOR
PITTSBURGH, PA 15232
Physician Assistant (Medical)
5115 CENTRE AVE
PITTSBURGH, PA 15232
Nurse Practitioner
5115 CENTRE AVE
PITTSBURGH, PA 15232
Physician Assistant (Medical)
5115 CENTRE AVE, 2ND FLOOR
PITTSBURGH, PA 15232

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 John Swanson's NPI number?

The NPI number for John Swanson is 1942644604. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is John Swanson located?

John Swanson practices at 5115 Centre Ave Upmc Hillman Cancer Center, Pittsburgh, PA 15232. The listed phone number is (412) 648-6359.

What is John Swanson's specialty?

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

Is John Swanson enrolled in Medicare?

Yes. John 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.

Which organization bills Medicare for John Swanson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Swanson reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 John Swanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Swanson was last updated on December 17, 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.