MARK EDWARD SWAN (OD MED) – Optometrist, NPI 1386665016

MARK EDWARD SWAN (OD MED) is a healthcare provider. based in Big rapids, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD MED. They hold a License No. 4901003186 (MI). The NPI Number for MARK EDWARD SWAN (OD MED) is 1386665016

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MARK EDWARD SWAN (OD MED)
NPI
1386665016
Phone
(231) 591-2222
Address
1124 S STATE ST
Enumeration Date
21 July 2006
Last Update Date
12 August 2021

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
6168663077
Graduation Year
1988 (38 years ago)
PAC ID
1850421298
Group Practice PAC ID
1456647320
Professional Enrollment ID
I20100611000414
Address ID
MI493411281RO25XXXSTXX401

Contacts

Secure Messaging
markswan@ferris.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,204 OPTOMETRY in MI

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Provider Addresses for MARK EDWARD SWAN (OD MED)

  • Michigan College of Optometry, 1124, South State Street, Big Rapids, Mecosta County, Michigan, 49307, United States

    MICHIGAN COLLEGE OF OPTOMETRY

    BIG RAPIDS, MI 493072256

    Phone: (231) 591-2222

    Fax: (231) 591-3991

    Type: Location

  • 25 N Main St

    Rockford, MI 493411281

    Phone: (616) 866-3077

    Fax: (616) 866-4408

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: CooperVision Inc. ($70).

Total Amount

$118

General + Research + Ownership

Payments

3

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-06-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100611000414IOptometryMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1616$0
View full utilization report →

Insurance plans in this area (ZIP 49307)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456647320View full group profile
NameSpecialtyState
O P T O M E T R YMI
-MI

Reviews

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Frequently asked questions

What is MARK EDWARD SWAN (OD MED)'s NPI number?
MARK EDWARD SWAN (OD MED)'s NPI is 1386665016 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MARK EDWARD SWAN (OD MED)?
For scheduling context, MARK EDWARD SWAN (OD MED) is shown as active in the registry.
What clinical focus is listed for MARK EDWARD SWAN (OD MED)?
At a glance, MARK EDWARD SWAN (OD MED) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with MARK EDWARD SWAN (OD MED)?
Directory geography for MARK EDWARD SWAN (OD MED) centers on Big Rapids, Michigan.
When was this NPI issued?
Enumeration for MARK EDWARD SWAN (OD MED) is noted as July 21, 2006 where the registry provides it.

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