ANTHONY T SWANHOLM (OD) – Optometrist, NPI 1609228089
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Provider Addresses for ANTHONY T SWANHOLM (OD)
PO BOX 207170
DALLAS, TX 753207156
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
105 W 4th St
Cincinnati, OH 452022712
Phone: (513) 621-2445
Fax: (513) 621-2513
Type: Location
2498, Dixie Highway, South Fort Mitchell, Fort Mitchell, Kenton County, Kentucky, 41017, United States
FT MITCHELL, KY 41017
Phone: (859) 331-0431
Fax: (859) 331-0675
Type: Location
PO BOX 635283
CINCINNATI, OH 452635286
Phone: (859) 344-5555
Fax: (859) 344-5554
Type: Mailing
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 410110801
Phone: (859) 655-3111
Fax: (859) 655-3110
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $974.
Total Amount is formed as General ($974) + Research ($0) + Ownership ($0) = $974.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Alcon Vision LLC ($267).
Total Amount
$974
General + Research + Ownership
Payments
34
Total payment records
General Amount
$974
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $267 |
| RxSight Inc | $147 |
| Bausch & Lomb Americas Inc. | $144 |
| Amgen Inc. | $79 |
| Sun Pharmaceutical Industries Inc. | $76 |
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: 2017-07-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160805001549 | I | Optometry | MI | TBD |
| I20170719000500 | I | Optometry | KY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 142 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 95 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 63 | $0 |
| 92134 | Imaging of retina | 64 | 59 | $0 |
| 92133 | Imaging of optic nerve | 51 | 39 | $0 |
Insurance plans in this area (ZIP 75320)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KY | |
| Family Practice | OH | |
| H O S P I T A L I S T | OH | |
| Family Practice | KY | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | KY | |
| - | KY | |
| Family Practice | OH | |
| - | FL | |
| Nurse Practitioner | KY |
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