THEODORE SWANN MD
NPI 1225085699
Family Medicine in Clemson, SC

Active since May 30, 2006Opted out of Medicare · through Feb 27, 2028
386 COLLEGE AVE, CLEMSON, SC 29631(864) 654-2067(864) 654-3261 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Theodore Swann Md NPPES

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

THEODORE SWANN MD (NPI 1225085699) is an individual family medicine provider in Clemson, South Carolina, licensed in South Carolina (23395) and active in the NPI registry since May 2006. He has opted out of Medicare through February 27, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225085699
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHEODORE SWANNCredential: MD
Location Address386 COLLEGE AVEClemson, SC 29631-1475
Mailing Address386 College AveClemson, SC 29631-1432 · (864) 654-2067 · Fax (864) 654-3261
Fax(864) 654-3261
Sole ProprietorNo
Enumeration DateMay 30, 2006
Last NPPES UpdateApril 27, 2010
NPI 1225085699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 23395
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

386 COLLEGE AVE, Clemson, SC 29631

Other Identifiers 4

Medicare UPINH76692
OtherP00362791SC · Rr Medicare
Medicare PIN6315SC
Medicaid233955SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Theodore Swann Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 27, 2014 through February 27, 2028.

Opt-Out Effective DateFebruary 27, 2014
Opt-Out In Effect ThroughFebruary 27, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29631 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Family Medicine
386 COLLEGE AVE
CLEMSON, SC 29631
Obstetrics & Gynecology
386 COLLEGE AVE
CLEMSON, SC 29631

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 Theodore Swann's NPI number?

The NPI number for Theodore Swann is 1225085699. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Theodore Swann located?

Theodore Swann practices at 386 College Ave, Clemson, SC 29631. The listed phone number is (864) 654-2067.

What is Theodore Swann's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Theodore Swann enrolled in Medicare?

No. Theodore Swann has opted out of Medicare through February 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Theodore Swann was last updated on April 27, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.