Carlos Swanger, MD
NPI 1609819788 · Internal Medicine Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Swanger, MD is a Internal Medicine Physician provider in Rochester, NY (NPI 1609819788).
Provider details
- NPI number
- 1609819788
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 187595 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 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
293 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 158 | $94 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 74 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 50 | $124 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 11 | $8 |
Typical Medicare-allowed amounts for these services range $8–$124 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 150 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 457 | 133 |
| Levothyroxine Sodium | 375 | 87 |
| Atorvastatin Calcium | 359 | 96 |
| Amlodipine Besylate | 355 | 91 |
| Omeprazole | 328 | 81 |
| Gabapentin | 257 | 66 |
| Lisinopril |
Practice location
Mailing address
Additional practice locations (1)
- 75 Genesee Street, 1st Flr , Ste 1Rochester, NY 14611Phone: (585) 368-3720Fax: (585) 368-3723
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2023-07-05
- Certified
- 2021-04-21
Frequently asked questions
- What is Carlos Swanger's NPI number?
- Carlos Swanger's National Provider Identifier (NPI) is 1609819788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlos Swanger's specialty?
- Carlos Swanger is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carlos Swanger located?
- Carlos Swanger's practice location on file with NPPES is 2400 S Clinton Ave, Rochester, NY 14618-2668.
- What is Carlos Swanger's phone number?
- The practice phone number listed in the NPPES registry for Carlos Swanger is (585) 271-3800.
- Does Carlos Swanger accept Medicare?
- Carlos Swanger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlos Swanger's NPI active?
- Yes — Carlos Swanger's NPI (1609819788) is active in the NPPES registry as of the last update on 2023-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.