HARRISON J SWALLA (PA-C) – Physician Assistant, NPI 1730827361
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for HARRISON J SWALLA (PA-C)
5875 E Riverside Blvd
Rockford, IL 611144937
Phone: (815) 398-9491
Fax: (815) 381-7498
Type: Location
921 S 8TH AVE STOP 8253
POCATELLO, ID 832090002
Phone: (208) 282-4726
Fax: (208) 282-4969
Type: Mailing
900 N 2ND ST
ROCHELLE, IL 610681717
Phone: (815) 562-3748
Fax: (815) 561-2756
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2023-09-16 • Largest payer in this snapshot: Smith+Nephew, Inc. ($28).
Total Amount
$55
General + Research + Ownership
Payments
2
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $28 |
| Orthofix Medical, Inc. | $26 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221107003162 | I | Physician Assistant | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 260 | 32 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 52 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 28 | 28 | $0 |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 14 | 12 | $0 |
Insurance plans in this area (ZIP 61114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | MN | |
| Family Practice | IL | |
| Internal Medicine, Hospitalist, Internal Medicine | IL | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL |
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