James Swenson, M.D.
NPI 1285673327 · Gastroenterology Physician · Kingsport, TN
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Swenson, M.D. is a Gastroenterology Physician provider in Kingsport, TN (NPI 1285673327).
Provider details
- NPI number
- 1285673327
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD27559 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
46 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 30 | $32 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 16 | $237 |
Typical Medicare-allowed amounts for these services range $32–$237 (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 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 84 | 24 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 66 | 65 |
| Pantoprazole Sodium | 37 | 12 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 24 | 23 |
| Famotidine | 19 | — |
| Colestipol Hcl | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- Beaufort Memorial Lowcountry Medical Group300 Midtown DriveBeaufort, SC 29906-5200Phone: (843) 770-0404Fax: (844) 296-2309
Registry dates
- Enumerated
- 2006-06-05
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Frequently asked questions
- What is James Swenson's NPI number?
- James Swenson's National Provider Identifier (NPI) is 1285673327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Swenson's specialty?
- James Swenson is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is James Swenson located?
- James Swenson's practice location on file with NPPES is 105 W Stone Dr Ste 2b, Kingsport, TN 37660-3365.
- What is James Swenson's phone number?
- The practice phone number listed in the NPPES registry for James Swenson is (423) 578-1595.
- Does James Swenson accept Medicare?
- James Swenson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Swenson's NPI active?
- Yes — James Swenson's NPI (1285673327) is active in the NPPES registry as of the last update on 2021-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.