Active NPI 1922116086 Individual Practitioner Male Practitioner

Dr. Brian R. Swenson , MD

Colon & Rectal Surgery • Springfield, MO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Brian Swenson, MD is a certified Colon & Rectal Surgery practicing in Springfield, MO. With approximately 22 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 2004, Dr. Swenson delivers high-quality medical care to the local community at 1965 S FREMONT AVE.

Dr. Swenson is affiliated with Mercy Clinic Springfield Communities and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, diagnostic examination of the anus using an endoscope, moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1965 S Fremont Ave
Suite 100

Springfield, MO 658042201

Telephone 4178203800

Fax 4178203810

Associated Practice Facility / Clinic

🏢 Mercy Hospital Springfield Facility NPI 1982644514

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Springfield, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +1.4 yrs vs City Avg

City Avg: 20.6 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

5 Specialists

Practicing in Springfield, MO (36 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Swenson (22 Years) 22 Yrs

Springfield Specialty Average (20.6 Years) 20.6 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$171.00	$100.02
46600 Diagnostic examination of the anus using an endoscope	66	63	$212.00	$101.10
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	45	45	$14.00	$5.35
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$132.00	$83.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$339.00	$203.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$1028.00	$226.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$333.00	$161.50
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	18	18	$551.00	$173.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$252.00	$121.72
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	15	15	$5100.00	$1686.40
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	15	15	$3823.00	$1241.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$264.00	$166.18
46221 Removal of external hemorrhoids by rubber banding	14	14	$590.00	$238.04
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$747.00	$148.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$168.00	$103.80
46600 Diagnostic examination of the anus using an endoscope	55	52	$199.02	$107.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$324.70	$203.13
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$122.05	$84.39
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	36	35	$14.00	$5.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$177.13	$112.24
46221 Removal of external hemorrhoids by rubber banding	22	19	$590.00	$260.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$252.00	$124.95
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1028.00	$239.75
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	16	16	$551.00	$177.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$333.00	$166.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$253.27	$156.61
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	14	14	$3823.00	$1271.02
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	13	13	$5100.00	$1693.25
45378 Diagnostic exam of large bowel using a flexible endoscope	12	11	$747.00	$145.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$231.27	$168.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$166.00	$105.29
46600 Diagnostic examination of the anus using an endoscope	69	68	$191.00	$110.93
99213 Established patient office or other outpatient visit, typically 15 minutes	49	45	$114.00	$85.35
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	48	48	$14.00	$5.22
46221 Removal of external hemorrhoids by rubber banding	32	30	$590.00	$261.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$1032.77	$233.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$313.00	$209.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$333.00	$189.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$249.00	$157.86
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	17	17	$551.00	$181.41
46260 Removal of multiple hemorrhoid groups	17	17	$1814.00	$447.04
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	14	14	$3631.85	$1206.71
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$747.00	$168.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$228.00	$171.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$163.00	$120.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$166.00	$106.19
46600 Diagnostic examination of the anus using an endoscope	54	51	$191.00	$109.13
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$111.95	$86.41
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	36	36	$14.00	$5.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	32	$333.00	$192.64
46221 Removal of external hemorrhoids by rubber banding	34	30	$590.00	$270.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$310.50	$211.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	26	$218.25	$172.33
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	24	24	$551.00	$182.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$162.70	$123.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$249.00	$160.01
44204 Partial removal of large bowel using an endoscope	15	15	$4364.00	$1479.70
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$747.00	$153.09
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1039.00	$245.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$252.00	$130.54
46260 Removal of multiple hemorrhoid groups	12	12	$1814.00	$452.28
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	12	12	$3823.00	$1296.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$166.00	$102.15
46600 Diagnostic examination of the anus using an endoscope	68	66	$191.00	$94.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	66	66	$308.00	$194.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	52	$161.00	$103.50
46221 Removal of external hemorrhoids by rubber banding	37	34	$590.00	$257.39
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	36	35	$14.00	$5.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	19	$215.00	$139.54
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	24	24	$551.00	$181.90
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$110.00	$69.10
44204 Partial removal of large bowel using an endoscope	20	20	$4364.00	$1544.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	19	$1039.00	$247.53
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	20	19	$3823.00	$1340.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$252.00	$135.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$333.00	$198.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$249.00	$156.93
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$747.00	$178.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$166.00	$101.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	98	98	$308.00	$197.69
46600 Diagnostic examination of the anus using an endoscope	80	79	$175.80	$87.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$161.00	$102.93
46221 Removal of external hemorrhoids by rubber banding	36	35	$555.06	$254.70
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	32	32	$3739.37	$1304.27
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	32	32	$14.00	$5.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$215.00	$138.47
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	26	26	$551.00	$189.82
44204 Partial removal of large bowel using an endoscope	21	21	$4364.00	$1542.18
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1039.00	$256.84
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$110.00	$70.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$333.00	$197.40
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$749.93	$186.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$99.00	$38.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$252.00	$133.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$249.00	$156.80
46260 Removal of multiple hemorrhoid groups	11	11	$1814.00	$467.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	81	$166.00	$99.94
46600 Diagnostic examination of the anus using an endoscope	65	62	$159.00	$81.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	63	63	$308.00	$195.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	54	$161.00	$100.90
46221 Removal of external hemorrhoids by rubber banding	39	35	$516.00	$249.35
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$110.00	$68.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	20	$134.00	$70.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$215.00	$136.33
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	24	24	$14.00	$5.47
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	24	24	$551.00	$187.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$252.00	$131.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$1039.00	$245.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$328.86	$195.54
44204 Partial removal of large bowel using an endoscope	21	21	$4364.00	$1516.97
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$758.00	$179.45
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	16	16	$3823.00	$1316.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$249.00	$154.96
46260 Removal of multiple hemorrhoid groups	12	12	$1814.00	$459.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$165.51	$100.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	64	64	$302.31	$187.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	52	$158.78	$98.51
46600 Diagnostic examination of the anus using an endoscope	58	49	$159.00	$78.78
46221 Removal of external hemorrhoids by rubber banding	46	44	$516.00	$245.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	18	$99.00	$37.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$213.50	$134.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$252.00	$131.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$134.00	$69.10
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1039.00	$224.70
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$198.59	$97.29
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	16	16	$551.00	$186.31
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	14	14	$3823.00	$1183.16
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$107.50	$65.35
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$758.00	$169.99
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	13	13	$14.00	$5.42
99238 Hospital discharge day management, 30 minutes or less	12	12	$144.00	$69.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$320.00	$194.01

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License MO 2011012611

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

State License MO 2011012611

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1922116086 (MO)

Medicaid State Provider ID

207498001 (AR)

Commercial Insurance / Payer ID Rr Medicare

P01095875 (MO)

Hospital & Practice Group Affiliations

Mercy Clinic Springfield Communities

448 State Hwy 248, Branson, MO 656163725

Phone: 4172134696

Practice Associates & Co-Workers

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

24 Associated Practitioners

Dr. Robert Cavagnol , MD

Surgery

NPI 1043273188

Doctor of Medicine (M.D.)

Dr. Hugh Lundman , MD

Surgery

NPI 1063438125

Doctor of Medicine (M.D.)

Christopher Chaffin , PA

Physician Assistant

NPI 1104129436

Physician Assistant

Ami Rohr , FNP

Nurse Practitioner - Pediatrics

NPI 1124434535

Family Nurse Practitioner

Dr. Christopher Edwards , MD

Surgery

NPI 1134296569

Doctor of Medicine (M.D.)

Nycolle Sexton , PA-C

Physician Assistant

NPI 1174940456

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 19, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 19, 2015

Registered at 1965 S FREMONT AVE, SUITE 100, SPRINGFIELD, MO 658042201 (Tel: 4178203800)

📍

Updated Business Mailing Address November 19, 2015

Registered at PO BOX 505164, SAINT LOUIS, MO 631505164 (Tel: 4178294620)

👤

Provider Name / Credentials Updated November 19, 2015

Recorded as BRIAN SWENSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2015

Surgery (License #2011012611 in MO)

🟢

Initial NPI Registration & Enumeration August 28, 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: 1922116086

Entity Type:

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

Enumeration Date: August 28, 2006

Last Update: November 19, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 505164

Saint Louis, MO 631505164

Phone: 4178294620

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

⚠️ Medical Disclaimer

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