Randall Swain, MD
NPI 1255395273 · Family Medicine Physician · Charleston, WV
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randall Swain, MD is a Family Medicine Physician provider in Charleston, WV (NPI 1255395273).
Provider details
- NPI number
- 1255395273
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 16120 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
123 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 93 | $65 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 30 | $95 |
Typical Medicare-allowed amounts for these services range $65–$95 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 41 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 91 | 38 |
| Fluticasone Propionate | 72 | 46 |
| Gabapentin | 48 | 24 |
| Levothyroxine Sodium | 39 | 20 |
| Atorvastatin Calcium | 34 | 20 |
| Methylprednisolone | 32 | 30 |
| Prednisone | 32 | 31 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$528 across 18 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-14
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Frequently asked questions
- What is Randall Swain's NPI number?
- Randall Swain's National Provider Identifier (NPI) is 1255395273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randall Swain's specialty?
- Randall Swain is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Randall Swain located?
- Randall Swain's practice location on file with NPPES is 4602 Maccorkle Ave Se, Charleston, WV 25304-1848.
- What is Randall Swain's phone number?
- The practice phone number listed in the NPPES registry for Randall Swain is (304) 925-4777.
- Does Randall Swain accept Medicare?
- Randall Swain is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randall Swain's NPI active?
- Yes — Randall Swain's NPI (1255395273) is active in the NPPES registry as of the last update on 2026-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.