Prabhakar Swaroop, MD
NPI 1295743177 · Gastroenterology Physician · Scottsdale, AZ
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prabhakar Swaroop, MD is a Gastroenterology Physician provider in Scottsdale, AZ (NPI 1295743177).
Provider details
- NPI number
- 1295743177
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 55206 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
587 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 265 | $123 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 66 | $161 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 55 | $92 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 49 | $87 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 40 | $240 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 115 | 53 |
| Pantoprazole Sodium | 109 | 51 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 54 | 53 |
| Famotidine | 44 | 16 |
| Linaclotidebrand: Linzess | 35 | 13 |
| Dicyclomine Hcl | 31 | 23 |
| Sod Sulf/Pot Chloride/Mag Sulfbrand: Sutab | 31 | 30 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,467 across 102 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
- 2006-08-04
- Last updated
- 2024-02-08
- Certified
- 2024-02-05
Frequently asked questions
- What is Prabhakar Swaroop's NPI number?
- Prabhakar Swaroop's National Provider Identifier (NPI) is 1295743177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prabhakar Swaroop's specialty?
- Prabhakar Swaroop is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Prabhakar Swaroop located?
- Prabhakar Swaroop's practice location on file with NPPES is 5111 N Scottsdale Rd Ste 151, Scottsdale, AZ 85250-7004.
- What is Prabhakar Swaroop's phone number?
- The practice phone number listed in the NPPES registry for Prabhakar Swaroop is (602) 254-6686.
- Does Prabhakar Swaroop accept Medicare?
- Prabhakar Swaroop is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prabhakar Swaroop's NPI active?
- Yes — Prabhakar Swaroop's NPI (1295743177) is active in the NPPES registry as of the last update on 2024-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.