Individual provider Active NPI

Marco Swanson, MD

  • Plastic and Reconstructive Surgery Physician
  • Tucson, AZ
National Provider Identifier
1386148047
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
70285 Issued in AZ
Practice address
698 E Wetmore Rd Ste 310
Tucson, AZ 85705-1752
Phone
(520) 207-3100
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 70285 AZ Primary

Addresses

Primary practice location

698 E Wetmore Rd Ste 310
Tucson, AZ 85705-1752

Mailing address

150 S Coronado Dr
Sierra Vista, AZ 85635-6352
Phone (520) 458-1787

Other practice location 1

10701 East Blvd
Cleveland, OH 44106-1702
Phone (216) 791-3800

Other practice location 2

150 S Coronado Dr Ste 110
Sierra Vista, AZ 85635-6352
Phone (520) 458-1787

Other practice location 3

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-4780

Other practice location 4

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716002360 AZ Practitioner - Plastic and Reconstructive Surgery 2668871278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Case Western University School of Dental Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Plastic Surgery of Arizona LLCGroup PAC ID 8820225238, 7 clinicians

Practice addresses (Care Compare)

5101 N Oracle Rd
Suite 121
Tucson, AZ 85704-3713
Phone (520) 207-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
76.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70285AZMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Plastic Surgery of Arizona LLC CurrentSince Aug 1, 2024 Accepting new patients
Coronado Surgery Center LLC PastSince Apr 21, 2024 Accepting new patients

Locations

150 S Coronado Dr
Ste 110
Sierra Vista, AZ 85635
Phone (520) 458-1787

5101 N Oracle Rd
Ste 121
Tucson, AZ 85704
Phone (520) 207-3100

698 E Wetmore Rd
Ste 310
Tucson, AZ 85705
Phone (520) 207-3100

5101 N Oracle Rd
#121
Tucson, AZ 85704
Phone (520) 207-3100

Interoperability endpoints

  • Direct secure messaging: mswanson@directaddress.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1386148047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S CORONADO DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356352",
            "telephone_number": "520-458-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 E WETMORE RD STE 310",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051752",
            "telephone_number": "520-207-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10701 East Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061702",
            "country_code": "US",
            "telephone_number": "216-791-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 S Coronado Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856356352",
            "country_code": "US",
            "telephone_number": "520-458-1787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-4780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Metrohealth Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091900",
            "country_code": "US",
            "telephone_number": "216-778-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MARCO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-04-16",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "70285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.