Douglas Swartz, M.D.
NPI 1992095236 · Family Medicine Physician · Pawleys Island, SC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Swartz, M.D. is a Family Medicine Physician provider in Pawleys Island, SC (NPI 1992095236).
Provider details
- NPI number
- 1992095236
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
949 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) |
|---|---|---|
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 264 | $107 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 243 | $111 |
| Advance Care Planning, First 30 Minutes99497 | 189 | $71 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 141 | $162 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 112 | $74 |
Typical Medicare-allowed amounts for these services range $71–$162 (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 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Doxycycline Hyclate | 53 | 51 |
| Ciprofloxacin Hcl | 44 | 43 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 43 | 31 |
| Pantoprazole Sodium | 40 | 39 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 39 | 37 |
| Cefdinir | 38 | 38 |
| Prednisone | 33 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$171 across 3 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
- 2011-04-07
- Last updated
- 2016-01-14
Frequently asked questions
- What is Douglas Swartz's NPI number?
- Douglas Swartz's National Provider Identifier (NPI) is 1992095236, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Swartz's specialty?
- Douglas Swartz is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Swartz located?
- Douglas Swartz's practice location on file with NPPES is 9699 Ocean Hwy, Pawleys Island, SC 29585-7425.
- What is Douglas Swartz's phone number?
- The practice phone number listed in the NPPES registry for Douglas Swartz is (843) 237-4296.
- Does Douglas Swartz accept Medicare?
- Douglas Swartz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Swartz's NPI active?
- Yes — Douglas Swartz's NPI (1992095236) is active in the NPPES registry as of the last update on 2016-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.