SWAPNA PALADUGU MD
NPI 1194037853
Family Medicine in Richburg, SC
About Swapna Paladugu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SWAPNA PALADUGU MD (NPI 1194037853) is an individual family medicine provider in Richburg, South Carolina, licensed in South Carolina (35652) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
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
Swapna Paladugu 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
2Medicare enrollment records show Swapna Paladugu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chester, SC 29706
- Reassigned Medicare billing, South Carolina enrollment
- 357 clinicians in this Medicare group
Lancaster, SC 29720
- Reassigned Medicare billing, South Carolina enrollment
- 509 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Medical Center
Acute Care Hospitals · Rock Hill, SCMusc Medical Center
Acute Care Hospitals · Charleston, SCMusc Health Chester Medical Center
Acute Care Hospitals · Chester, SCMusc Health Lancaster Medical Center
Acute Care Hospitals · Lancaster, SCKershawhealth
Acute Care Hospitals · Camden, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29729 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 12
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RICHBURG, SC 29729
RICHBURG, SC 29729
RICHBURG, SC 29729
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 Swapna Paladugu's NPI number?
The NPI number for Swapna Paladugu is 1194037853. It was assigned to this individual provider in the NPPES registry on July 10, 2010.
Where is Swapna Paladugu located?
Swapna Paladugu practices at 3909 Lancaster Hwy, Richburg, SC 29729. The listed phone number is (803) 789-5221.
What is Swapna Paladugu's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Swapna Paladugu enrolled in Medicare?
Yes. Swapna Paladugu 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 Swapna Paladugu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Swapna Paladugu reassigns Medicare benefits to 2 organizations: Medical University Hospital Authority (Chester, SC) and Carolina Family Care, Inc (Lancaster, SC). 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 Swapna Paladugu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Swapna Paladugu accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Swapna Paladugu 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 Swapna Paladugu affiliated with any hospitals?
According to CMS data, Swapna Paladugu is affiliated with Piedmont Medical Center, Musc Medical Center, Musc Health Chester Medical Center, Musc Health Lancaster Medical Center and Kershawhealth.
When was this NPI record last updated?
The NPPES record for Swapna Paladugu was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Swapna Paladugu, MD · NPI 1194037853
Family Medicine physician in Richburg, South Carolina. Individual provider, active in the CMS NPPES registry since July 10, 2010.
## Identity
- **NPI:** 1194037853 (Entity type: Individual)
- **Enumerated:** July 10, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35652 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3909 LANCASTER HWY, Richburg, SC 29729-9053
- **Phone:** (803) 789-5221 · **Fax:** (803) 789-2332
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Medical University Hospital Authority (NPI 1437622933, Chester, SC); Carolina Family Care, Inc (NPI 1275564098, Lancaster, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** May 9, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1194037853) · Data from the CMS NPPES public registry.