Dr. Thomas Swantkowski, MD
15 Regional DR, Pinehurst, NC 28374 • +1-576-555-7186
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Pinehurst Percentiles
NPI #1144265109 • CBSA Regional • Gastroenterology
Within the Pinehurst, NC (CBSA local) Gastroenterology cohort, Dr. Thomas Swantkowski, MD with sub-specialty concentration in 96 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 81.15th NC percentile (+0.63σ Z-score) based on 9,529 billed procedures for 557 patients.
Procedural volume for Dr. Swantkowski is led by HCPCS 99214 (Established Gastroenterology, GERD & IBD Evaluation — 483 annual services, $42–$57 GPCI cash estimate), followed by CPT 45380 (Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy, 326/yr) and CPT 43239 (Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy, 274/yr).
Self-pay new patient consultations with Dr. Swantkowski (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 13-minute average reception wait, and a 4.41/5 modern protocol openness score across 15 patient logs.
Clinical background for Dr. Swantkowski (MD, NPI #1144265109) includes accredited doctoral training (2013, 13 yrs in practice) and dedicated on-site consultations at 15 Regional DR.
Compared against Pinehurst, NC Gastroenterology peers
9,529 annual services across 557 beneficiaries
Standard deviations from NC Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 483 | 12th | $42 – $57 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 326 | 12th | $100 – $137 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 274 | 12th | $83 – $114 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 131 | 12th | $112 – $153 |
| 99204 | New Patient Digestive & Hepatology Consultation | 91 | 12th | $59 – $80 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (96 HCPCS billing breadth) | 8,224 | 0th | $45 – $65 |
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Dr. Thomas Swantkowski, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Swantkowski National Provider Identifier | NPI #1144265109 (MD) | CMS NPPES Registry (28374) |
| Dr. Swantkowski Pinehurst CMS Volume Rank | 0.00th Pct (9,529 CMS svcs; Z +0.626σ) | CMS Medicare Part B (NC Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pinehurst, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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