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WILLIAM STACY SWAFFORD PA-C
NPI 1194220236
Pain Medicine - Pain Medicine in Crossville, TN

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
181 MATHERLY ST, CROSSVILLE, TN 38555(931) 484-2727(931) 484-1670 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2018, Mar 29, 2018 (2 updates tracked since 2018).

About William Stacy Swafford Pa-c NPPES

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

WILLIAM STACY SWAFFORD PA-C (NPI 1194220236) is an individual pain medicine provider in Crossville, Tennessee, licensed in Tennessee (PA0000003530) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Saint Thomas Highlands Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194220236
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameWILLIAM STACY SWAFFORDCredential: PA-C
Location Address181 MATHERLY STCrossville, TN 38555
Mailing Address181 Matherly StCrossville, TN 38555-1001 · (931) 484-2727 · Fax (931) 484-1670
Phone(931) 484-2727
Fax(931) 484-1670
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 29, 2018
Last NPPES UpdateJune 13, 20182 updates tracked since enumeration
✔ NPI 1194220236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in TN · PA0000003530
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
181 MATHERLY ST, Crossville, TN 38555
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

William Stacy Swafford Pa-c 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 ID3870844053
PECOS Enrollment IDI20180927001129
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 5

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
106 services103 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.
88 services56 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.
52 services52 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.
44 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients

Hospital Affiliations CMS Care Compare

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

Saint Thomas Highlands Hospital

Acute Care Hospitals · Sparta, TN
OwnershipProprietary
CMS Certification Number440192
Location401 Sewell DrSparta, TN 38583 · White County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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.

Other Providers at the Same Location NPPES 2

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

MR. CASEY DILLON PA
Physician Assistant
181 MATHERLY ST
CROSSVILLE, TN 38555
Cumberland County (931) 644-5423
NORTH MAIN MEDICAL, LLC
Clinic/Center (Primary Care)
181 MATHERLY ST
CROSSVILLE, TN 38555
Cumberland County (931) 644-5423

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 William Swafford's NPI number?

The NPI number for William Swafford is 1194220236. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is William Swafford located?

William Swafford practices at 181 Matherly St, Crossville, TN 38555. The listed phone number is (931) 484-2727.

What is William Swafford's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is William Swafford enrolled in Medicare?

Yes. William Swafford 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 William Swafford 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 1 other insurer list William Swafford 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 William Swafford affiliated with any hospitals?

According to CMS data, William Swafford is affiliated with Saint Thomas Highlands Hospital.

When was this NPI record last updated?

The NPPES record for William Swafford was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.