Anthony Swanholm, OD
NPI 1609228089 · Optometrist · Covington, KY
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anthony Swanholm, OD is a Optometrist provider in Covington, KY (NPI 1609228089).
Provider details
- NPI number
- 1609228089
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- OPT.006714 (OH)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
524 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 173 | $121 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 115 | $156 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 69 | $85 |
| Imaging of Retina92134 | 63 | $37 |
| Imaging of Optic Nerve92133 | 50 | $33 |
| Exam of Visual Field With Extended Testing92083 | 33 | $58 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 126 | 41 |
| Prednisolone Acetate | 67 | 62 |
| Cyclosporinebrand: Restasis | 39 | 17 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 27 | — |
| Lifitegrastbrand: Xiidra | 26 | 17 |
| Cyclosporinebrand: Restasis Multidose | 21 | — |
| Netarsudil Mesylat/Latanoprostbrand: Rocklatan | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$764 across 24 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 105 W 4th StCincinnati, OH 45202-2712Phone: (513) 621-2445Fax: (513) 621-2513
Registry dates
- Enumerated
- 2016-07-08
- Last updated
- 2021-04-19
- Certified
- 2021-04-19
Frequently asked questions
- What is Anthony Swanholm's NPI number?
- Anthony Swanholm's National Provider Identifier (NPI) is 1609228089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anthony Swanholm's specialty?
- Anthony Swanholm is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Anthony Swanholm located?
- Anthony Swanholm's practice location on file with NPPES is 1500 James Simpson Jr Way, Covington, KY 41011-0801.
- What is Anthony Swanholm's phone number?
- The practice phone number listed in the NPPES registry for Anthony Swanholm is (859) 655-3111.
- Does Anthony Swanholm accept Medicare?
- Anthony Swanholm is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anthony Swanholm's NPI active?
- Yes — Anthony Swanholm's NPI (1609228089) is active in the NPPES registry as of the last update on 2021-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.