STEPHEN J. SWARTZ (M.D.) – Internal Medicine Physician, NPI 1245211705

STEPHEN J. SWARTZ (M.D.) is a healthcare provider. based in Middletown, New Jersey. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. MA045869 (NJ). The NPI Number for STEPHEN J. SWARTZ (M.D.) is 1245211705

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN J. SWARTZ (M.D.)
NPI
1245211705
Phone
(732) 671-3313
Address
138 CHERRY TREE FARM RD
Enumeration Date
10 November 2005
Last Update Date
3 April 2023

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
7327412700
Graduation Year
1983 (43 years ago)
PAC ID
1355364704
Group Practice PAC ID
7416234075
Professional Enrollment ID
I20060111000777
Address ID
NJ077011864RE1XXXXPLZX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,910 INTERNAL MEDICINE in NJ

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Provider Addresses for STEPHEN J. SWARTZ (M.D.)

  • 138, Cherry Tree Farm Road, Hendrickson Corners, Middletown Township, Monmouth County, New Jersey, 07748, United States

    MIDDLETOWN, NJ 077481736

    Phone: (732) 671-3313

    Fax: (732) 671-8513

    Type: Location

  • 999 PALMER AVE STE 1

    HOLMDEL, NJ 077331088

    Phone: (732) 671-3313

    Fax: (732) 671-8513

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 251 Open Payments records for all available years, with a total value of $4,066.

Total Amount is formed as General ($4,066) + Research ($0) + Ownership ($0) = $4,066.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($592).

Total Amount

$4,066

General + Research + Ownership

Payments

251

Total payment records

General Amount

$4,066

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2006-01-11

PECOS data refreshed: 2026-06-15

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
I20060111000777IInternal MedicineNJTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,937448$0
99213Established patient office or other outpatient visit, 20-29 minutes345205$0
20551Injection into tendon at attachment to bone or muscle7555$0
J2001Injection, lidocaine hcl for intravenous infusion, 10 mg7249$0
99495Transitional care management services for problem of at least moderate complexity6051$0
View full utilization report →

Insurance plans in this area (ZIP 07748)

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Provider's Procedures

STEPHEN J. SWARTZ (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINENJ20610Aspiration and/or injection of large joint or joint capsule1815

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: 7416234075View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YNJ
Nurse PractitionerNJ
Physician AssistantPA
C H I R O P R A C T I CPA
Otolaryngology, Plastic And Reconstructive SurgeryNJ
Family PracticePA
Nurse PractitionerPA
Mental Health CounselorPA
Physical Therapist In Private PracticePA
Nurse PractitionerPA

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Frequently asked questions

How do I look up STEPHEN J. SWARTZ (M.D.) by NPI?
Use NPI 1245211705 when you need to reference STEPHEN J. SWARTZ (M.D.) in forms, claims, or directories.
Is STEPHEN J. SWARTZ (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is STEPHEN J. SWARTZ (M.D.)?
The page reflects Internal Medicine Physician for STEPHEN J. SWARTZ (M.D.). Clinical services aligned with this taxonomy classification.
Does STEPHEN J. SWARTZ (M.D.) practice in New Jersey?
You will see Middletown, New Jersey on file for STEPHEN J. SWARTZ (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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