MATTHEW S SWARM
NPI 1023307022
Emergency Medicine in Nashville, TN

Q: What is Matthew Swarm's NPI number?

The NPI number for Matthew Swarm is 1023307022. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Q: What is Matthew Swarm's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Swarm was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since March 31, 2011PECOS EnrolledAccepts Medicare Assignment

97.12/100

CMS Quality Rating

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2021, Oct 15, 2020, Nov 6, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Matthew S Swarm NPPES

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

MATTHEW S SWARM (NPI 1023307022) is an individual emergency medicine provider in Nashville, Tennessee, licensed in Tennessee (54217) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1023307022

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMATTHEW S SWARM

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-5306

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000

Phone(615) 322-3000

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2011

Enumeration DateMarch 31, 2011

Last NPPES UpdateApril 25, 20254 updates tracked since enumeration

NPPES CertifiedApril 25, 2025

✔ NPI 1023307022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TN · 54217✔ Licensed in IN · 01072355A

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 54217 (TN)

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Open in Google Maps ↗

Secondary Practice Locations 5

Location 11701 N Senate AveIndianapolis, IN 46202-5306 · Phone (317) 962-3886 · Fax (317) 963-5492

Location 21310 24th Ave SNashville, TN 37212-2637 · Phone (615) 327-4751

Location 32835 Highway 231 NShelbyville, TN 37160-7327 · Phone (615) 875-6415

Location 41801 N Jackson StTullahoma, TN 37388-2201 · Phone (615) 875-6415

Location 51411 W Baddour PkwyLebanon, TN 37087-2513 · Phone (615) 875-6415

Other Identifiers 3

Other000000815489IN · Anthem Bc/bs Pin

Medicaid201102590IN

MedicaidQ023494TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew S Swarm 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 ID7214179191

PECOS Enrollment IDI20160531001926

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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

37 services37 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.64

Promoting Interoperability

100

Improvement Activities

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.

DR. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)