TAYLOR JAY SWANSON (OD) – Optometrist, NPI 1881058196

TAYLOR JAY SWANSON (OD) is a healthcare provider. based in Baxter, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3509 (MN). The NPI Number for TAYLOR JAY SWANSON (OD) is 1881058196

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR JAY SWANSON (OD)
NPI
1881058196
Phone
(218) 825-1976
Address
7636 Design Rd Ste 105
Enumeration Date
12 April 2016
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2188290946
Graduation Year
2017 (9 years ago)
PAC ID
5294003489
Group Practice PAC ID
3870691074
Professional Enrollment ID
I20170612001838
Address ID
MN564013526BR506XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for TAYLOR JAY SWANSON (OD)

  • 7636 Design Rd Ste 105

    Baxter, MN 564258678

    Phone: (218) 825-1976

    Fax: (218) 828-9869

    Type: Location

  • 1 3rd Ave NE

    Crosby, MN 564411665

    Phone: (218) 546-5108

    Fax: (218) 546-5736

    Type: Location

  • 1, 3rd Avenue Northeast, Crosby, Crow Wing County, Minnesota, 56441, United States

    CROSBY, MN 564411665

    Phone: (218) 546-5108

    Fax: (218) 546-5736

    Type: Mailing

  • 506, Laurel Street, Brainerd, Crow Wing County, Minnesota, 56401, United States

    BRAINERD, MN 564013526

    Phone: (218) 829-0946

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $227.

Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Alcon Vision LLC ($130).

Total Amount

$227

General + Research + Ownership

Payments

12

Total payment records

General Amount

$227

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

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: 2017-06-12

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
I20170612001838IOptometryMNTBD

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
92012Established patient problem focused exam of visual system6039$0
99214Established patient office or other outpatient visit, 30-39 minutes4745$0
92134Imaging of retina4341$0
92250Photography of the retina2726$0
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 56425)

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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: 3870691074View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
-MN

Reviews

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Frequently asked questions

Can I use this page to confirm TAYLOR JAY SWANSON (OD)'s NPI?
Yes. TAYLOR JAY SWANSON (OD) is listed with NPI 1881058196 in the public NPI dataset.
Can I rely on TAYLOR JAY SWANSON (OD) being an active provider?
As of the registry snapshot, TAYLOR JAY SWANSON (OD) is marked active.
What is TAYLOR JAY SWANSON (OD)'s primary classification?
Optometrist is the headline specialty for TAYLOR JAY SWANSON (OD) here. Clinical services aligned with this taxonomy classification.
Where is TAYLOR JAY SWANSON (OD) based?
TAYLOR JAY SWANSON (OD) is tied to Baxter, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about TAYLOR JAY SWANSON (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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