ROY DAVID SWANSON MD
NPI 1952807810
Ophthalmology in Tucson, AZ

Active since March 31, 2018PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
1745 E SKYLINE DR STE 175, TUCSON, AZ 85718(520) 742-1900(520) 742-1170 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2026, Jul 10, 2025, Aug 19, 2022 and 4 more (7 updates tracked since 2018).

About Roy David Swanson Md NPPES

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

ROY DAVID SWANSON MD (NPI 1952807810) is an individual ophthalmology provider in Tucson, Arizona, licensed in Arizona (65238) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1952807810
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameROY DAVID SWANSONCredential: MD
Location Address1745 E SKYLINE DR STE 175Tucson, AZ 85718-1163
Mailing Address1745 E Skyline Dr Ste 175Tucson, AZ 85718-1163 · (520) 742-1900 · Fax (520) 742-1170
Fax(520) 742-1170
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 31, 2018
Last NPPES UpdateMarch 4, 20267 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1952807810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in AZ · 65238
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1745 E SKYLINE DR STE 175, Tucson, AZ 85718

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

Roy David Swanson 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 ID9032596994
PECOS Enrollment IDI20220513001977
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
245 services201 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
138 services118 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
123 services121 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.
115 services95 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
109 services105 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
98 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85718 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Ophthalmology
1745 E SKYLINE DR STE 175
TUCSON, AZ 85718
Anesthesiology
1745 E SKYLINE DR STE 175
TUCSON, AZ 85718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952807810, enumerated as an "individual" on March 31, 2018.

The provider is located at 1745 E SKYLINE DR STE 175 TUCSON, AZ 85718 and the phone number is (520) 742-1900.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.