JEFFREY SWEERS MD
NPI 1982139929
Student in an Organized Health Care Education/Training Program in Marquette, MI

NPI Status: Active since April 27, 2017

Contact Information

1414 W FAIR AVE
SUITE 36
MARQUETTE, MI
ZIP 49855
Phone: (906) 225-3867

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  • Individual
  • Male
  • Years of Experience 16
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JEFFREY SWEERS

This page provides the complete NPI Profile along with additional information for Jeffrey Sweers, a primary care provider established in Marquette, Michigan with a medical specialization in Student In An Organized Health Care Education/training Program and more than 16 years of experience. He graduated from Michigan State University College Of Human Medicine in 2010. The healthcare provider is registered in the NPI registry with number 1982139929 assigned on April 2017. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1982139929
Provider Name
JEFFREY SWEERS MD
Gender
Male
Entity Type
Individual
Location Address
1414 W FAIR AVE SUITE 36 MARQUETTE, MI 49855
Location Phone
(906) 225-3867
Mailing Address
PO BOX 13811 BELFAST, ME 04915
Mailing Phone
(906) 225-3630
Mailing Fax
Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year
2010
Is Sole Proprietor?
No
Enumeration Date
04-27-2017
Last Update Date
04-27-2017
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A primary care provider (PCP) like Jeffrey Sweers sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jeffrey Sweers is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jeffrey Sweers is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7214364777

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200221000923

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    1 DME suppliers used 13 Medicare Claims 13 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    2 DME suppliers used 20 Medicare Claims 40 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Wheelchairs (DD000N)

    Lightweight wheelchair (HCPCS:K0003)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 13 times for 13 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

This service was performed 12 times for 12 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 56 times for 31 patients

Hospital discharge day management, 30 minutes or less

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

This service was performed 24 times for 22 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffrey Sweers is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BARAGA COUNTY MEMORIAL HOSPITAL18341 US HIGHWAY 41
L' ANSE, MI 49946
(906) 524-3300Critical Access Hospitals

Reviews for JEFFREY SWEERS MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982139929, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 2 + 3 + 1 + 8 + 9 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1982139929.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
1414 W FAIR AVE, STE 201
MARQUETTE, MI 49855
Internal Medicine
1414 W FAIR AVE, STE 201
MARQUETTE, MI 49855
Internal Medicine
1414 W FAIR AVE, STE 201
MARQUETTE, MI 49855
Internal Medicine
1414 W FAIR AVE, STE 201
MARQUETTE, MI 49855
Specialist
1414 W FAIR AVE, SUITE 247
MARQUETTE, MI 49855
Preventive Medicine (Occupational Medicine)
1414 W FAIR AVE, STE 35
MARQUETTE, MI 49855
Nurse Practitioner (Pediatrics)
1414 W FAIR AVE, #226
MARQUETTE, MI 49855
Internal Medicine (Infectious Disease)
1414 W FAIR AVE, STE 111
MARQUETTE, MI 49855
Physician Assistant
1414 W FAIR AVE, STE 332
MARQUETTE, MI 49855
Internal Medicine (Hematology)
1414 W FAIR AVE, SUITE 332
MARQUETTE, MI 49855
Internal Medicine (Hematology)
1414 W FAIR AVE, SUITE 332
MARQUETTE, MI 49855
Internal Medicine (Infectious Disease)
1414 W FAIR AVE, SUITE 111
MARQUETTE, MI 49855
Nurse Practitioner (Primary Care)
1414 W FAIR AVE, STE 344
MARQUETTE, MI 49855
Family Medicine
1414 W FAIR AVE, STE 36
MARQUETTE, MI 49855
Family Medicine
1414 W FAIR AVE, SUITE 36
MARQUETTE, MI 49855
Family Medicine
1414 W FAIR AVE, STE 36
MARQUETTE, MI 49855
Family Medicine
1414 W FAIR AVE, STE 36
MARQUETTE, MI 49855
Family Medicine
1414 W FAIR AVE, STE 36
MARQUETTE, MI 49855
Family Medicine
1414 W FAIR AVE, STE 36
MARQUETTE, MI 49855
Family Medicine
1414 W FAIR AVE, STE 36
MARQUETTE, MI 49855

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982139929, enumerated as an "individual" on April 27, 2017.

The provider is located at 1414 W FAIR AVE SUITE 36 MARQUETTE, MI 49855 and the phone number is (906) 225-3867.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Jeffrey Sweers is affiliated with: BARAGA COUNTY MEMORIAL HOSPITAL.