DR. MATTHEW CHARLES SWANN MD
NPI 1275893760
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in New Braunfels, TX

Active since May 18, 2012PECOS EnrolledAccepts Medicare Assignment
73.13/100
CMS Quality Rating
601 CREEKSIDE XING STE 106, NEW BRAUNFELS, TX 78130(108) 045-4002(210) 396-5321 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2023, Aug 24, 2018 (2 updates tracked since 2018).

About Dr. Matthew Charles Swann Md NPPES

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

DR. MATTHEW CHARLES SWANN MD (NPI 1275893760) is an individual orthopaedic surgery of the spine provider in New Braunfels, Texas, licensed in Texas (Q4853) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (2012).

NPPES Registry Identity

NPI1275893760
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. MATTHEW CHARLES SWANNCredential: MD
Location Address601 CREEKSIDE XING STE 106New Braunfels, TX 78130
Mailing Address400 Concord Plaza Dr Ste 300San Antonio, TX 78216-6991 · (210) 805-5416 · Fax (210) 678-4142
Fax(210) 396-5321
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2012
Enumeration DateMay 18, 2012
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
NPI 1275893760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in TX · Q4853
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License Q4853 (TX)
601 CREEKSIDE XING STE 106, New Braunfels, TX 78130

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 and accepts Medicare assignment

Dr. Matthew Charles Swann 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.

PECOS PAC ID6709131139
PECOS Enrollment IDI20180626001273
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 22

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 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.
623 services395 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
201 services198 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
175 services96 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.
105 services105 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
94 services92 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
82 services82 patients

Hospital Affiliations CMS Care Compare 3

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Resolute Health Hospital

Acute Care Hospitals · New Braunfels, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670098
Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County
Emergency services Birthing friendly

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.

73.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality68.42
Promoting Interoperability96
Improvement Activities40
Cost45.35

Reported Quality Measures

Advance Care Plan
7%864 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
50%667 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
0%1,161 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
70%50 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
92%84 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,627 patients4/55-star benchmark: 100%
e-Prescribing
99%451 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
7%835 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%1,799 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,758 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%2,215 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 54% · 1,378 patients
Patients screened: 59% · 1,378 patients
12%75 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 2% · 539 patients
2%539 patients
Provide Patients Electronic Access to Their Health Information
83%689 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%230 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 879 patients
Patients totalRate: 8% · 880 patients
7%880 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier13 claims13 services$46.05 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier12 claims12 services$50.54 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier49 claims49 services$70.16 avg. paid by Medicare
Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier24 claims24 services$3,739.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Physical Therapy Assistant
601 CREEKSIDE XING STE 106
NEW BRAUNFELS, TX 78130
Physical Therapist (Orthopedic)
601 CREEKSIDE XING STE 106
NEW BRAUNFELS, TX 78130
Physical Therapy Assistant
601 CREEKSIDE XING STE 106
NEW BRAUNFELS, TX 78130
Physical Therapist
601 CREEKSIDE XING STE 106
NEW BRAUNFELS, TX 78130
Orthopaedic Surgery
601 CREEKSIDE XING STE 106
NEW BRAUNFELS, TX 78130
Occupational Therapist
601 CREEKSIDE XING STE 106
NEW BRAUNFELS, TX 78130
Physical Therapist
601 CREEKSIDE XING STE 106
NEW BRAUNFELS, TX 78130

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 Matthew Swann's NPI number?

The NPI number for Matthew Swann is 1275893760. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Where is Matthew Swann located?

Matthew Swann practices at 601 Creekside Xing Ste 106, New Braunfels, TX 78130. The listed phone number is (108) 045-4002.

What is Matthew Swann's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Matthew Swann enrolled in Medicare?

Yes. Matthew Swann 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 Matthew Swann accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Matthew Swann 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 Matthew Swann affiliated with any hospitals?

According to CMS data, Matthew Swann is affiliated with Peterson Regional Medical Center, Baptist Medical Center and Resolute Health Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Swann was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.