DR. SUSAN MARIE SWAYNE MD
NPI 1184618928
Pediatrics in Sidney, MT

Active since September 08, 2005PECOS Enrolled
216 14TH AVE SW, SIDNEY, MT 59270(406) 488-2100 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 8, 2022, Sep 6, 2019 (3 updates tracked since 2019).

About Dr. Susan Marie Swayne Md NPPES

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

DR. SUSAN MARIE SWAYNE MD (NPI 1184618928) is an individual pediatrics provider in Sidney, Montana, licensed in Montana (112698) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184618928
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSAN MARIE SWAYNECredential: MD
Location Address216 14TH AVE SWSidney, MT 59270-3519
Mailing Address216 14th Ave SwSidney, MT 59270-3519 · (406) 488-2100
Sole ProprietorNo
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJuly 15, 20253 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
NPI 1184618928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in MT · 112698 Licensed in CO · DR.0054627
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License DR.0054627 (CO), 112698 (MT)
216 14TH AVE SW, Sidney, MT 59270

Secondary Practice Locations 2

Location 11273 Burns WayKalispell, MT 59901-3109 · Phone (406) 752-8300 · Fax (406) 752-3542
Location 2202 Conway Dr Ste 200Kalispell, MT 59901-3153 · Phone (406) 758-7490 · Fax (406) 758-7080

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 (PECOS)

Dr. Susan Marie Swayne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59270 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

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.

Nurse Anesthetist, Certified Registered
216 14TH AVE SW
SIDNEY, MT 59270
Speech-Language Pathologist
216 14TH AVE SW
SIDNEY, MT 59270
Advanced Practice Midwife
216 14TH AVE SW
SIDNEY, MT 59270
Orthopaedic Surgery
216 14TH AVE SW
SIDNEY, MT 59270
Physical Therapist
216 14TH AVE SW
SIDNEY, MT 59270
Physician Assistant
216 14TH AVE SW
SIDNEY, MT 59270
Psychologist (Clinical)
216 14TH AVE SW
SIDNEY, MT 59270
In Home Supportive Care
216 14TH AVE SW
SIDNEY, MT 59270

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 Susan Swayne's NPI number?

The NPI number for Susan Swayne is 1184618928. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Susan Swayne located?

Susan Swayne practices at 216 14th Ave SW, Sidney, MT 59270. The listed phone number is (406) 488-2100.

What is Susan Swayne's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susan Swayne enrolled in Medicare?

Yes. Susan Swayne is registered in the Medicare PECOS enrollment system.

What insurance does Susan Swayne accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan and Sanford Health Plan list Susan Swayne 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 Susan Swayne was last updated on July 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.