DR. JOHN WILLIAM SWISHER PHD, M.D.
NPI 1083609564
Internal Medicine - Pulmonary Disease in Knoxville, TN

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
6473 KINGSTON PIKE, KNOXVILLE, TN 37919(865) 588-8831(865) 588-8841 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 19, 2025, Oct 3, 2024, May 15, 2019 and 3 more (6 updates tracked since 2017).

About Dr. John William Swisher Phd, M.d. NPPES

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

DR. JOHN WILLIAM SWISHER PHD, M.D. (NPI 1083609564) is an individual pulmonary disease provider in Knoxville, Tennessee, licensed in Tennessee (45855) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083609564
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JOHN WILLIAM SWISHERCredential: PHD, M.D.
Location Address6473 KINGSTON PIKEKnoxville, TN 37919
Mailing Address3030 Nw Expressway Ste 1000Oklahoma City, OK 73112-5468 · (248) 781-8593 · Fax (801) 618-2497
Fax(865) 588-8841
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 12, 2005
Last NPPES UpdateJune 22, 20266 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
NPI 1083609564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TN · 45855
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 45855 (TN)
6473 KINGSTON PIKE, Knoxville, TN 37919

Secondary Practice Locations 2

Location 12333 Knob Creek Rd Ste 15Johnson City, TN 37604-2007 · Phone (865) 588-8831 · Fax (868) 588-8841
Location 2550 Fort Loudoun Medical Center DrLenoir City, TN 37772-5673 · Phone (865) 271-6000 · Fax (865) 271-6245

Accepted 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

Dr. John William Swisher Phd, 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 ID8527196690
PECOS Enrollment IDI20100524000537
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 19

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
279 services153 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
142 services103 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
75 services35 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
72 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services63 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
63 services60 patients

Hospital Affiliations CMS Care Compare 5

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440081
Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County
Emergency services Birthing friendly

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440110
Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County
Emergency services

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37919 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%78 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
4 suppliers24 claims93 services$18.01 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
4 suppliers19 claims548 services$34.80 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers38 claims38 services$17.21 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$47.20 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$6.13 avg. paid by Medicare
Ultrasonic/electronic aerosol generator with small volume nebulizer E0574
DME-Other DME · category DE000N
3 suppliers19 claims19 services$31.87 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.

Internal Medicine (Pulmonary Disease)
6473 KINGSTON PIKE
KNOXVILLE, TN 37919
Internal Medicine (Pulmonary Disease)
6473 KINGSTON PIKE
KNOXVILLE, TN 37919
Physician Assistant
6473 KINGSTON PIKE
KNOXVILLE, TN 37919
Internal Medicine (Pulmonary Disease)
6473 KINGSTON PIKE
KNOXVILLE, TN 37919
Internal Medicine (Pulmonary Disease)
6473 KINGSTON PIKE
KNOXVILLE, TN 37919
Internal Medicine (Pulmonary Disease)
6473 KINGSTON PIKE
KNOXVILLE, TN 37919
Nurse Practitioner (Family)
6473 KINGSTON PIKE
KNOXVILLE, TN 37919
Internal Medicine (Pulmonary Disease)
6473 KINGSTON PIKE
KNOXVILLE, TN 37919

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 John Swisher's NPI number?

The NPI number for John Swisher is 1083609564. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is John Swisher located?

John Swisher practices at 6473 Kingston Pike, Knoxville, TN 37919. The listed phone number is (865) 588-8831.

What is John Swisher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is John Swisher enrolled in Medicare?

Yes. John Swisher 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.

What insurance does John Swisher accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list John Swisher 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 John Swisher affiliated with any hospitals?

According to CMS data, John Swisher is affiliated with Wellmont Bristol Regional Medical Center, Leconte Medical Center, Fort Loudoun Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for John Swisher was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.