Justin Swain, PA-C
NPI 1417009499 · Physician Assistant · Mt Pleasant, SC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Swain, PA-C is a Physician Assistant provider in Mt Pleasant, SC (NPI 1417009499).
Provider details
- NPI number
- 1417009499
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 1064 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
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
553 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 | 184 | $72 |
| Testing for Presence of Drug, By Chemistry Analyzers80307 | 70 | $61 |
| Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion22853 | 58 | $32 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 53 | $31 |
| 3d Radiographic Procedure76376 | 26 | $14 |
| X-Ray of Upper Spine, 2-3 Views72040 | 24 | $29 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 133 | 132 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 119 | 101 |
| Cyclobenzaprine Hcl | 58 | 54 |
| Tizanidine Hcl | 57 | 40 |
| Naloxone Hcl | 43 | 43 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 38 | 27 |
| Oxycodone Hcl | 32 | 21 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$461 across 25 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
- 2007-01-18
- Last updated
- 2024-12-23
- Certified
- 2024-12-23
Frequently asked questions
- What is Justin Swain's NPI number?
- Justin Swain's National Provider Identifier (NPI) is 1417009499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Swain's specialty?
- Justin Swain is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Justin Swain located?
- Justin Swain's practice location on file with NPPES is 1625 Hospital Dr, Mt Pleasant, SC 29464-3698.
- What is Justin Swain's phone number?
- The practice phone number listed in the NPPES registry for Justin Swain is (843) 849-1551.
- Does Justin Swain accept Medicare?
- Justin Swain is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Swain's NPI active?
- Yes — Justin Swain's NPI (1417009499) is active in the NPPES registry as of the last update on 2024-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.