Sheila Swartz
NPI 1427324623 · Pediatrics Physician · Milwaukee, WI
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sheila Swartz is a Pediatrics Physician provider in Milwaukee, WI (NPI 1427324623).
Provider details
- NPI number
- 1427324623
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 61851 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
78 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 27 | $120 |
| Ultrasonic Guidance for Needle Placement76942 | 20 | $28 |
| Drainage of Fluid From Abdominal Cavity Using Imaging Guidance49083 | 18 | $96 |
| Aspiration of Fluid From Chest Cavity Using Imaging Guidance32555 | 13 | $99 |
Typical Medicare-allowed amounts for these services range $28–$120 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 9200 W Wisconsin AveMilwaukee, WI 53226-3522Phone: (414) 805-6850Fax: (414) 805-6864
Registry dates
- Enumerated
- 2012-04-01
- Last updated
- 2024-05-02
- Certified
- 2024-05-02
Frequently asked questions
- What is Sheila Swartz's NPI number?
- Sheila Swartz's National Provider Identifier (NPI) is 1427324623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sheila Swartz's specialty?
- Sheila Swartz is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Sheila Swartz located?
- Sheila Swartz's practice location on file with NPPES is 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874.
- What is Sheila Swartz's phone number?
- The practice phone number listed in the NPPES registry for Sheila Swartz is (414) 337-7050.
- Does Sheila Swartz accept Medicare?
- Sheila Swartz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sheila Swartz's NPI active?
- Yes — Sheila Swartz's NPI (1427324623) is active in the NPPES registry as of the last update on 2024-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.