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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: October 18, 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
Phone(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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Susan Swayne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sidney Health Center
Same address
Critical Access
216 14TH AVE SW
Sidney, MT 59270
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1568532802 (Montana)
  • 211 clinicians in this Medicare group
NPI 1285719161 (406) 488-2100
Kalispell Regional Medical Center Inc
461 mi
Primary Care
8299 MT HIGHWAY 35
Bigfork, MT 59911
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group
NPI 1164726428 (406) 837-5541

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ADAM HYDE MILTON CRNA
Nurse Anesthetist, Certified Registered
216 14TH AVE SW
SIDNEY, MT 59270
Richland County (406) 488-2100
MRS. MANDY HALL MS
Speech-Language Pathologist
216 14TH AVE SW
SIDNEY, MT 59270
Richland County (406) 488-2166
SHANNON ELIZABETH SHEPHERD CNM
Advanced Practice Midwife
216 14TH AVE SW
SIDNEY, MT 59270
Richland County (401) 488-2100
DR. JAMES E SCOTT MD
Orthopaedic Surgery
216 14TH AVE SW
SIDNEY, MT 59270
Richland County (406) 488-2100
DR. JACE LEE EVERETT DOCTORATE
Physical Therapist
216 14TH AVE SW
SIDNEY, MT 59270
Richland County (406) 488-2166
ADRIANNE BRYANT PA-C
Physician Assistant
216 14TH AVE SW
SIDNEY, MT 59270
Richland County (406) 488-2100
SIDNEY HEALTH CENTER
In Home Supportive Care
216 14TH AVE SW
SIDNEY, MT 59270
Richland County (406) 488-2100
DR. ROBERT E HARDY M.D.
Obstetrics & Gynecology
216 14TH AVE SW
SIDNEY, MT 59270
Richland County (406) 488-2577

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.

Which organizations bill Medicare for Susan Swayne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Swayne reassigns Medicare benefits to 2 organizations: Sidney Health Center (Sidney, MT) and Kalispell Regional Medical Center Inc (Bigfork, MT). 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 Susan Swayne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Swayne accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans, 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 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.