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SWAPNA PATEL M. D
NPI 1013361567
Internal Medicine in Lancaster, SC

Active since April 21, 2016PECOS EnrolledAccepts Medicare Assignment
800 W MEETING ST, LANCASTER, SC 29720(803) 286-1310(803) 313-3126 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2021, Nov 1, 2019 (2 updates tracked since 2019).

About Swapna Patel M. D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SWAPNA PATEL M. D (NPI 1013361567) is an individual internal medicine provider in Lancaster, South Carolina, licensed in South Carolina (83027) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with The Mcdowell Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1013361567
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSWAPNA PATELCredential: M. D
Location Address800 W MEETING STLancaster, SC 29720-2202
Mailing Address1155 Mill St # W11Reno, NV 89502-1576 · (775) 327-5174 · Fax (775) 327-5178
Phone(803) 286-1310
Fax(803) 313-3126
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 21, 2016
Last NPPES UpdateJuly 16, 20212 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
✔ NPI 1013361567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 83027
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
800 W MEETING ST, Lancaster, SC 29720
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Swapna Patel M. D is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901191329
PECOS Enrollment IDI20241127000057
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Swapna Patel reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sc Hospital Medicine Physicians LLC
Same address
Emergency Medicine
800 W MEETING ST
Lancaster, SC 29720
  • Reassigned Medicare billing, South Carolina enrollment
  • 59 clinicians in this Medicare group
NPI 1326677915 (803) 286-1214
M Medical Nc PLLC
82 mi
Internal Medicine
17 CORNELIA ST
Lexington, NC 27292
  • Reassigned Medicare billing, North Carolina enrollment
  • 50 clinicians in this Medicare group
NPI 1770337412 (336) 242-1349
Musc Community Physicians
98 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
Moses Cone Physician Services, Inc.
106 mi
Family Medicine
4620 WOODY MILL RD STE G
Greensboro, NC 27406
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
NPI 1811424849 (336) 907-3907
Southeastern Medical Group, PC
115 mi
Hospitalist
260 HOSPITAL DR
Brevard, NC 28712
  • Reassigned Medicare billing, North Carolina enrollment
  • 234 clinicians in this Medicare group
NPI 1184669053 (828) 884-9111
Hospital Physician Services - Southeast Professional Corporation
181 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, North Carolina enrollment
  • 511 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461
Ths Physician Partners Inc
256 mi
Internal Medicine
4605 MACCORKLE AVE SW
South Charleston, WV 25309
  • Reassigned Medicare billing, West Virginia enrollment
  • 466 clinicians in this Medicare group
NPI 1871866806 (304) 414-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
151 services141 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Mcdowell Hospital

Acute Care Hospitals · Marion, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340087
Location430 Rankin Drive P O Box 730Marion, NC 28752 · Mc Dowell County
Emergency services Birthing friendly

Highlands Cashiers Hospital

Critical Access Hospitals · Highlands, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341316
Location190 Hospital DriveHighlands, NC 28741 · Macon County
Emergency services

Angel Medical Center

Critical Access Hospitals · Franklin, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341326
Location124 Center Court PO Box 1209Franklin, NC 28734 · Macon County
Emergency services

Blue Ridge Regional Hospital

Critical Access Hospitals · Spruce Pine, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341329
Location125 Hospital DriveSpruce Pine, NC 28777 · Mitchell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims26 services$14.94 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$58.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IAN MICHAEL CARRESE PA-C
Physician Assistant
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (843) 792-1414
TOMAS LUKE LAMBERT MD
Radiology (Vascular & Interventional Radiology)
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (904) 639-2000
DR. NASER RAWASHDEH MD
Student in an Organized Health Care Education/Training Program
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (843) 792-2575
METROLINA ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (803) 286-1214
MEBRAHTOM W TESFAI MD
Internal Medicine
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (803) 286-1214
ROBERT DUFFELL-HOFFMAN MS RD LD
Dietitian, Registered
800 W MEETING ST, SPRINGS MEMORIAL HOSPITAL-FOOD AND NUTRITION DEPARTMENT
LANCASTER, SC 29720
Lancaster County (803) 313-3278
DR. DANIEL ROACH CRNA
Nurse Anesthetist, Certified Registered
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (803) 286-1214
MR. MICHAEL ALEXANDER KITHCART
Nurse Anesthetist, Certified Registered
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (803) 286-1214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Swapna Patel's NPI number?

The NPI number for Swapna Patel is 1013361567. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Swapna Patel located?

Swapna Patel practices at 800 W Meeting St, Lancaster, SC 29720. The listed phone number is (803) 286-1310.

What is Swapna Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Swapna Patel enrolled in Medicare?

Yes. Swapna Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Swapna Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swapna Patel reassigns Medicare benefits to 7 organizations: Sc Hospital Medicine Physicians LLC (Lancaster, SC), M Medical Nc PLLC (Lexington, NC), Musc Community Physicians (Bamberg, SC), Moses Cone Physician Services, Inc. (Greensboro, NC), Southeastern Medical Group, PC (Brevard, NC) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Swapna Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Swapna Patel affiliated with any hospitals?

According to CMS data, Swapna Patel is affiliated with The Mcdowell Hospital, Highlands Cashiers Hospital, Angel Medical Center and Blue Ridge Regional Hospital.

When was this NPI record last updated?

The NPPES record for Swapna Patel was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.