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MICHELLE SUE SWANGER-GAGNE PHD
NPI 1982982690
Psychologist - Clinical in Rochester, NY

Active since July 29, 2011PECOS Enrolled
80.29/100
CMS Quality Rating
UNIVERSITY OF ROCHESTER MEDICAL CTR, 300 CRITTENDEN BLVD, BOX PSYCH, ROCHESTER, NY 14642(402) 202-1792(585) 271-7706 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle Sue Swanger-gagne Phd NPPES

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

MICHELLE SUE SWANGER-GAGNE PHD (NPI 1982982690) is an individual clinical provider in Rochester, New York, licensed in New York (018851) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982982690
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMICHELLE SUE SWANGER-GAGNECredential: PHD
Location AddressUNIVERSITY OF ROCHESTER MEDICAL CTR, 300 CRITTENDEN BLVD, BOX PSYCHRochester, NY 14642-0001
Mailing AddressUniversity Of Rochester Medical Ctr, 300 Crittenden Blvd, Box PsychRochester, NY 14642-0001 · (402) 202-1792 · Fax (585) 271-7706
Phone(402) 202-1792
Fax(585) 271-7706
Sole ProprietorYes
Enumeration DateJuly 29, 2011
Last NPPES UpdateJuly 6, 2023
✔ NPI 1982982690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 018851
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 018851 (NY), 18851 (NY)
UNIVERSITY OF ROCHESTER MEDICAL CTR, Rochester, NY 14642
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Sue Swanger-gagne Phd 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michelle Swanger-gagne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Rochester
0.2 mi
Primary Care
738 LIBRARY RD., 270617
Rochester, NY 14627
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1548583305 (585) 275-2662
University Of Rochester Department Of Psychiatry Clinical Group
0.5 mi
Psychiatry
300 CRITTENDEN BLVD
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1326088808 (585) 275-6733
Rochester General Hospital
2.3 mi
Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1760557656 (585) 922-3150

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 14642 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

80.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.76
Promoting Interoperability100
Improvement Activities40
Cost30.21

Other Providers at the Same Location NPPES 15

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

ROBERT M KOTTMANN M.D.
Internal Medicine (Pulmonary Disease)
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-4861
NISHA PATEL MD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVENUE, BOX 626
ROCHESTER, NY 14642
Monroe County (585) 273-4580
APEKSHA CHATURVEDI MD
Radiology (Pediatric Radiology)
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-2734
ERNESTINE IONA BROWN
Nurse Practitioner (Family)
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100
HANI KATERJI
Pathology (Anatomic Pathology & Clinical Pathology)
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVENUE, BOX 626
ROCHESTER, NY 14642
Monroe County (585) 273-4580
MR. JOHN H HERRMANN JR. LMHC
Counselor (Mental Health)
UNIVERSITY OF ROCHESTER MEDICAL CTR, 300 CRITTENDEN BLVD., BOX PSYCHIATRY
ROCHESTER, NY 14642
Monroe County (585) 275-6740
DR. PHILIP JAY KATZMAN M.D.
Pathology (Anatomic Pathology)
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVE, BOX 626
ROCHESTER, NY 14642
Monroe County (585) 273-4091
DR. MARK WILLIAMS MBBS
Anesthesiology
UNIVERSITY OF ROCHESTER MEDICAL CTR, 601 ELMWOOD AVE, BOX 604
ROCHESTER, NY 14642
Monroe County (585) 275-1384

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 Michelle Swanger-gagne's NPI number?

The NPI number for Michelle Swanger-gagne is 1982982690. It was assigned to this individual provider in the NPPES registry on July 29, 2011.

Where is Michelle Swanger-gagne located?

Michelle Swanger-gagne practices at University Of Rochester Medical Ctr 300 Crittenden Blvd, Box Psych, Rochester, NY 14642. The listed phone number is (402) 202-1792.

What is Michelle Swanger-gagne's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michelle Swanger-gagne enrolled in Medicare?

Yes. Michelle Swanger-gagne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Swanger-gagne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Swanger-gagne reassigns Medicare benefits to 3 organizations: University Of Rochester (Rochester, NY), University Of Rochester Department Of Psychiatry Clinical Group (Rochester, NY) and Rochester General Hospital (Rochester, NY). Each 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 Michelle Swanger-gagne'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 Michelle Swanger-gagne was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.