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MRS. MARTIKA SHONTA SWAIN O.D.,
NPI 1154770725
Optometrist in Albertville, AL

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
5850 US HIGHWAY 431 # A, ALBERTVILLE, AL 35950(256) 878-0125(256) 878-0939 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2021, Sep 21, 2018 (2 updates tracked since 2018).

About Mrs. Martika Shonta Swain O.d., NPPES

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

MRS. MARTIKA SHONTA SWAIN O.D., (NPI 1154770725) is an individual optometrist in Albertville, Alabama, licensed in Alabama (S-D58-TA-A54) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Alabama Birmingham - School Of Optometry (2016).

NPPES Registry Identity

NPI1154770725
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. MARTIKA SHONTA SWAINCredential: O.D.,
Location Address5850 US HIGHWAY 431 # AAlbertville, AL 35950-2048
Mailing AddressPo Box 207243Dallas, TX 75320-7243 · (636) 200-4393 · Fax (636) 527-0766
Phone(256) 878-0125
Fax(256) 878-0939
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
✔ NPI 1154770725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AL · S-D58-TA-A54
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5850 US HIGHWAY 431 # A, Albertville, AL 35950
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17 12th Ave NWArab, AL 35016-1977 · Phone (256) 586-4171 · Fax (636) 527-0766
Location 21825 Tin Valley Cir Ste ABirmingham, AL 35235-3248 · Phone (205) 661-2020 · Fax (205) 661-2010

Other Identifiers 2

Medicaid219541AL
Medicaid219023AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Mrs. Martika Shonta Swain O.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 ID7214229582
PECOS Enrollment IDI20160706001942
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 4

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
73 services73 patients
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.
52 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 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.
21 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35950 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

EYECARE ASSOCIATES, INC.
Optometrist
5850 US HIGHWAY 431 # A
ALBERTVILLE, AL 35950
Marshall County (256) 878-0125

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 Martika Swain's NPI number?

The NPI number for Martika Swain is 1154770725. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Martika Swain located?

Martika Swain practices at 5850 Us Highway 431 # A, Albertville, AL 35950. The listed phone number is (256) 878-0125.

What is Martika Swain's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Martika Swain enrolled in Medicare?

Yes. Martika Swain 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 Martika Swain accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross Blue Shield of Wyoming and 7 other insurers list Martika Swain 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.

When was this NPI record last updated?

The NPPES record for Martika Swain was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.