Medicare billing address
CMS Medicare provider billing file
702 Commerce Dr Ste 160Perrysburg, OH 43551
CMS public data · NPI 1033648035
Dr. Benjamin J Swartz: Medicare prescribing and billing data
CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.
CMS display name
Benjamin J Swartz, MD
Specialty
Credential
MD
NPI
1033648035
Primary source state
OH
Data retrieval date
July 28, 2026
What related Medicare data is on this site?
Ohio doctorsState Doctor hubFamily PracticeState-specialty hubPerrysburg, OHPrimary city link if this route exists
Where these numbers come from, and what they cannot tell you
Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.
How should you read this Doctor page?
This page shows Medicare billing and Part D prescribing data for Benjamin J Swartz, MD from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.
A licensed agent, not a call center
Do your doctors and prescriptions fit before you enroll?
Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Bring the doctors and prescriptions that matter to you, then check the details before you enroll.
What Medicare source indicators are listed for this NPI?
Medicare participating
Yes
Individual assignment
Yes
Group assignment
Yes
CMS opt-out records
0
Which practice locations appear in CMS files?
When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.
Perrysburg, OH 43551
TOLEDO CLINIC INCORPORATED
CMS Doctors & Clinicians file
702 Commerce DrSuite 160
Perrysburg, OH 43551
What does the Medicare billing file show?
In the 2024 CMS provider billing file, this NPI had 463 Medicare beneficiaries and 3,863 total services. The average beneficiary age was 75, and the average HCC risk score was 1.
Total Medicare allowed amount
$229,817.78
Total Medicare payment amount
$177,576.67
Medicare beneficiaries
463
Total services
3,863
Which patient-panel condition fields does CMS report?
These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.
Hyperlipidemia
75%
CMS beneficiary-panel share
Hypertension
75%
CMS beneficiary-panel share
Chronic kidney disease
56%
CMS beneficiary-panel share
Diabetes
26%
CMS beneficiary-panel share
Anxiety
26%
CMS beneficiary-panel share
Mood disorders
26%
CMS beneficiary-panel share
Where these service numbers come from, and what they cannot tell you
Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.
Which Medicare services appear most often?
| CMS service description | Services | Avg allowed |
|---|---|---|
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 630 | $120.26 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 501 | $59.18 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 357 | $121.70 |
| Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 347 | $23.89 |
| Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 315 | $45.10 |
| Annual alcohol misuse screening, 5 to 15 minutes | 234 | $17.43 |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 230 | $84.45 |
| Annual depression screening, 5 to 15 minutes | 229 | $17.42 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 142 | $0.95 |
| Hemoglobin a1c level | 90 | $9.52 |
Where these Part D numbers come from, and what they cannot tell you
CMS data reports historical prescription drug events attributed to NPI 1033648035. Formularies, copays, prior authorization, and step therapy rules vary by current coverage.
Which drugs did Benjamin J Swartz, MD prescribe most often under Medicare Part D?
| Rank | Drug | Generic name | Total claims | 30-day fills | Total drug cost |
|---|---|---|---|---|---|
| 1 | Atorvastatin Calcium | Atorvastatin Calcium | 689 | 1,928 | $7,900.13 |
| 2 | Levothyroxine Sodium | Levothyroxine Sodium | 506 | 1,190.4 | $5,241.11 |
| 3 | Rosuvastatin Calcium | Rosuvastatin Calcium | 485 | 1,173.1 | $5,193.58 |
| 4 | Lisinopril | Lisinopril | 458 | 1,214.8 | $2,546.41 |
| 5 | Omeprazole | Omeprazole | 458 | 1,124.1 | $5,504.26 |
| 6 | Losartan Potassium | Losartan Potassium | 399 | 1,002.4 | $3,389.65 |
| 7 | Amlodipine Besylate | Amlodipine Besylate | 380 | 1,022.3 | $2,302.78 |
| 8 | Metoprolol Succinate | Metoprolol Succinate | 353 | 946.5 | $5,141.84 |
| 9 | Pantoprazole Sodium | Pantoprazole Sodium | 336 | 829.6 | $5,404.24 |
| 10 | Gabapentin | Gabapentin | 318 | 515.3 | $4,059.44 |
CMS Part D records are historical aggregate claims data. They do not include current formulary status, pharmacy price, prior-authorization rules, network-directory status, or clinical-outcome data.
What background fields does CMS report?
Medical school
University Of South Carolina School Of Medicine
Graduation year
2017
Group/practice field
Toledo Clinic Incorporated
Telehealth reported
Not reported
What can this data not tell us?
- Billing data and prescribing data come from different CMS files. Neither one measures clinical outcomes, and neither one tells you whether this doctor is in a specific plan's network.
- Part D records do not report current medication use, plan coverage, price, pharmacy availability, or plan-directory status.
- Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.
- CMS billing data does not list Medicare Advantage plan-directory status for this doctor.
- CMS service and prescribing records are historical public-use aggregates; they do not report current appointment availability, clinical outcomes, or patient-specific medical advice.
- Part D provider-and-drug records do not include current formulary status, copay amount, pharmacy price, prior-authorization rules, or step-therapy rules.
What should you verify separately?
Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.
Which CMS sources support this page?
The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.
- Medicare Physician & Other Practitioners - by Provider · 1 records for this NPI · retrieved July 28, 2026
- Medicare Physician & Other Practitioners - by Provider and Service · 21 records for this NPI · retrieved July 28, 2026
- Doctors and Clinicians National Downloadable File · 1 records for this NPI · retrieved July 28, 2026
- Opt-Out Affidavits · 0 records for this NPI · retrieved July 28, 2026
- Medicare Part D Prescribers - by Provider and Drug · 169 records for this NPI · retrieved July 28, 2026
What caveats apply to this page?
- CMS billing and utilization files do not list Medicare Advantage plan networks, appointment availability, or clinical outcomes.
- Part D provider-and-drug files are historical aggregate claims data; they do not report current medication lists, plan coverage, pharmacy price, or prior-authorization rules.
- Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.