Active NPI 1326012618 Individual Practitioner Male Practitioner

Stephen M. Swan

Physician Assistant • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephen Swan is a certified Physician Assistant practicing in Boulder, CO. With approximately 24 years of clinical experience since completing medical education in 2002, Stephen Swan delivers high-quality medical care to the local community at 1100 BALSAM AVE.

Stephen Swan is affiliated with Goodland Regional Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 Balsam Ave

Boulder, CO 803043404

Telephone 3034402037

Fax 3033067753

Associated Practice Facility / Clinic

🏢 Boulder Emergency Physicians Pc Facility NPI 1659354637

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boulder, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +12.0 yrs vs City Avg

City Avg: 12.0 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

101 Specialists

Practicing in Boulder, CO (3810 Statewide)

Telehealth Adoption Rate

12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Swan (24 Years) 24 Yrs

Boulder Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$395.00	$102.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$495.00	$135.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	79	66	$400.00	$94.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	56	$395.00	$99.19
99283 Emergency department visit with low level of medical decision making	44	40	$240.00	$56.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	76	69	$400.00	$98.50
99283 Emergency department visit with low level of medical decision making	54	44	$240.00	$57.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$494.00	$159.84
99285 Emergency department visit for life threatening or functioning severity	27	26	$510.00	$143.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	24	$395.00	$107.71
99220 Hospital observation care, typically 70 minutes	20	20	$454.00	$144.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	103	84	$510.00	$146.33
99284 Emergency department visit with moderate level of medical decision making	60	54	$400.00	$98.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	34	$494.00	$163.29
99220 Hospital observation care, typically 70 minutes	24	24	$454.00	$148.41
99283 Emergency department visit with low level of medical decision making	20	18	$240.00	$59.17
99291 Critical care, first 30-74 minutes	12	12	$543.00	$179.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	85	70	$493.62	$144.50
99284 Emergency department visit with moderate level of medical decision making	26	24	$339.15	$98.92
99283 Emergency department visit with low level of medical decision making	17	17	$214.12	$54.26
99291 Critical care, first 30-74 minutes	15	15	$543.00	$185.00
99219 Hospital observation care, typically 50 minutes	15	14	$354.40	$113.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$494.00	$166.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	76	74	$1438.40	$142.24
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	69	60	$70.45	$7.23
99284 Emergency department visit with moderate level of medical decision making	55	55	$974.59	$97.94
99283 Emergency department visit with low level of medical decision making	32	31	$513.71	$53.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	114	103	$68.40	$7.08
99284 Emergency department visit with moderate level of medical decision making	105	102	$946.20	$98.76
99285 Emergency department visit for life threatening or functioning severity	101	101	$1396.50	$145.16
99283 Emergency department visit with low level of medical decision making	67	66	$498.75	$53.01
99291 Critical care, first 30-74 minutes	11	11	$1801.20	$190.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	76	75	$724.20	$100.39
99285 Emergency department visit for life threatening or functioning severity	74	74	$1059.61	$146.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	72	65	$53.31	$7.25
99283 Emergency department visit with low level of medical decision making	33	33	$377.86	$51.30

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO PA.0001917

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License CO PAL 1917

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7555344 (CO)

Hospital & Practice Group Affiliations

Goodland Regional Medical Center

220 W 2nd St, Goodland, KS 677351602

Phone: 7858906012

Goodland Regional Medical Center

106 Willow Rd, Goodland, KS 677351518

Phone: 7858906012

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Keasha Kuhnen

Emergency Medicine

NPI 1003126541

Dr. Kathryn Brickman , MD

Hospitalist

NPI 1003221839

Doctor of Medicine (M.D.)

Dr. Douglas Hammond , MD

Emergency Medicine

NPI 1003892746

Doctor of Medicine (M.D.)

Richard Penland

Emergency Medicine - Pediatric Emergency Medicine

NPI 1003893843

Charles Page

Emergency Medicine

NPI 1013020460

Kevin Marques

Obstetrics & Gynecology

NPI 1013175603

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 07, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2015

Registered at 1100 BALSAM AVE, BOULDER, CO 803043404 (Tel: 3034402037)

📍

Updated Business Mailing Address August 07, 2015

Registered at PO BOX 173894, DENVER, CO 802173894 (Tel: 3033067783)

👤

Provider Name / Credentials Updated August 07, 2015

Recorded as STEPHEN SWAN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2015

Emergency Medicine (License #PAL 1917 in CO)

🟢

Initial NPI Registration & Enumeration February 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326012618

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 14, 2006

Last Update: August 07, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 173894

Denver, CO 802173894

Phone: 3033067783

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.