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DR. JAMES A SWENSON M.D.
NPI 1285673327
Internal Medicine - Gastroenterology in Kingsport, TN

Active since June 05, 2006PECOS Enrolled
105 W STONE DR STE 2B, KINGSPORT, TN 37660(423) 578-1595(423) 578-1596 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2021, Jan 8, 2020 (2 updates tracked since 2020).

About Dr. James A Swenson M.d. NPPES

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

DR. JAMES A SWENSON M.D. (NPI 1285673327) is an individual gastroenterology provider in Kingsport, Tennessee, licensed in Tennessee (27559) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Beaufort.

NPPES Registry Identity

NPI1285673327
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JAMES A SWENSONCredential: M.D.
Location Address105 W STONE DR STE 2BKingsport, TN 37660-3365
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2093 · Fax (423) 390-3340
Phone(423) 578-1595
Fax(423) 578-1596
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1285673327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in TN · 27559✔ Licensed in SC · 25353
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License MD27559 (TN)
105 W STONE DR STE 2B, Kingsport, TN 37660
Open in Google Maps ↗

Secondary Practice Location 1

Location 1BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP, 300 MIDTOWN DRIVEBEAUFORT, SC 29906-5200 · Phone (843) 770-0404 · Fax (844) 296-2309

Other Identifiers 1

Medicaid253530SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James A Swenson M.d. 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.

Areas of Expertise CMS Part B claims 2

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
30 services18 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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 3

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

TARA D SNYDER NP
Nurse Practitioner (Family)
105 W STONE DR STE 2B
KINGSPORT, TN 37660
Sullivan County (423) 247-7500
DR. LAWRENCE DELMORE BAILEY JR. M.D.
Internal Medicine (Gastroenterology)
105 W STONE DR STE 2B
KINGSPORT, TN 37660
Sullivan County (423) 578-1596
AMANDA BETH CAMPBELL FNP
Nurse Practitioner (Family)
105 W STONE DR STE 2B
KINGSPORT, TN 37660
Sullivan County (423) 578-1595

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 James Swenson's NPI number?

The NPI number for James Swenson is 1285673327. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is James Swenson located?

James Swenson practices at 105 W Stone Dr Ste 2B, Kingsport, TN 37660. The listed phone number is (423) 578-1595.

What is James Swenson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is James Swenson enrolled in Medicare?

Yes. James Swenson is registered in the Medicare PECOS enrollment system.

What insurance does James Swenson accept?

Health plans from BlueCross BlueShield of Tennessee list James Swenson 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 James Swenson was last updated on March 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.