DR. CRAIG STEVEN SWAFFORD MD
NPI 1053490417
Surgery in Dayton, TN
About Dr. Craig Steven Swafford Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CRAIG STEVEN SWAFFORD MD (NPI 1053490417) is an individual surgery provider in Dayton, Tennessee, licensed in Tennessee (40348) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
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
Dr. Craig Steven Swafford Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Craig Swafford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dayton, TN 37321
- Reassigned Medicare billing, Tennessee enrollment
Monteagle, TN 37356
- Reassigned Medicare billing, Tennessee enrollment
- 110 clinicians in this Medicare group
Knoxville, TN 37932
- Reassigned Medicare billing, Tennessee enrollment
- 504 clinicians in this Medicare group
Memphis, TN 38104
- Reassigned Medicare billing, Tennessee enrollment
- 170 clinicians in this Medicare group
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 9
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cumberland Medical Center
Acute Care Hospitals · Crossville, TNMethodist Hospitals Of Memphis
Acute Care Hospitals · Memphis, TNSouthern Tennessee Regional Hlth System Winchester
Acute Care Hospitals · Winchester, TNStarr Regional Medical Center Athens
Acute Care Hospitals · Athens, TNRhea Medical Center
Critical Access Hospitals · Dayton, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Craig Swafford's NPI number?
The NPI number for Craig Swafford is 1053490417. It was assigned to this individual provider in the NPPES registry on November 4, 2006.
Where is Craig Swafford located?
Craig Swafford practices at 9390 Rhea County Highway, Dayton, TN 37321. The listed phone number is (423) 775-5800.
What is Craig Swafford's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Craig Swafford enrolled in Medicare?
Yes. Craig Swafford 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 Craig Swafford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Craig Swafford reassigns Medicare benefits to 4 organizations: Southeastern Surgical Specialists (Dayton, TN), Amg-Southern Tennessee LLC (Monteagle, TN), Covenant Medical Group, Inc. (Knoxville, TN) and Ut Methodist Physicians LLC (Memphis, TN). 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 Craig Swafford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Craig Swafford accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Craig Swafford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Craig Swafford affiliated with any hospitals?
According to CMS data, Craig Swafford is affiliated with Cumberland Medical Center, Methodist Hospitals Of Memphis, Southern Tennessee Regional Hlth System Winchester, Starr Regional Medical Center Athens and Rhea Medical Center.
When was this NPI record last updated?
The NPPES record for Craig Swafford was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Craig Steven Swafford, MD · NPI 1053490417
Surgery physician in Dayton, Tennessee. Individual provider, active in the CMS NPPES registry since November 4, 2006.
## Identity
- **NPI:** 1053490417 (Entity type: Individual)
- **Enumerated:** November 4, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 40348 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 9390 RHEA COUNTY HIGHWAY, Dayton, TN 37321
- **Phone:** (423) 775-5800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Southeastern Surgical Specialists (NPI 1285335232, Dayton, TN); Amg-Southern Tennessee LLC (NPI 1922388297, Monteagle, TN); Covenant Medical Group, Inc. (NPI 1457302010, Knoxville, TN); Ut Methodist Physicians LLC (NPI 1427317908, Memphis, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2003
## Record status
- **NPPES last updated:** February 11, 2015
- **Other identifiers:** Other 4263175 (TN); Other P00643004; Other 941961; and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1053490417) · Data from the CMS NPPES public registry.