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DR. DONALD C SWAYZE DO
NPI 1306842406
Surgery in Hermann, MO

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
134 W 6TH ST, HERMANN, MO 65041(573) 486-5711(573) 486-3827 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Donald C Swayze Do NPPES

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

DR. DONALD C SWAYZE DO (NPI 1306842406) is an individual surgery provider in Hermann, Missouri, licensed in Missouri (2001011437) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Hermann Area District Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (1990).

NPPES Registry Identity

NPI1306842406
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DONALD C SWAYZECredential: DO
Location Address134 W 6TH STHermann, MO 65041-1018
Mailing AddressPo Box 19Hermann, MO 65041-0019 · (573) 486-1193 · Fax (573) 486-0910
Phone(573) 486-5711
Fax(573) 486-3827
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1990
Enumeration DateJune 23, 2005
Last NPPES UpdateFebruary 8, 2012
✔ NPI 1306842406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MO · 2001011437✔ Licensed in KS · 0529283
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
134 W 6TH ST, Hermann, MO 65041
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Other Identifiers 5

Medicare UPINH14631KS
Medicare ID-Type Unspecified104668KS
Medicaid100396790BKS
Medicare OSCAR/certification268602MO
Medicaid591257506MO

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 Sunflower Health Plan 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

Dr. Donald C Swayze Do 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 ID8921089988
PECOS Enrollment IDI20050517000163
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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
25 services25 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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Hermann Area District Hospital

Critical Access Hospitals · Hermann, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261314
Location509 W 18th StHermann, MO 65041 · Gasconade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65041 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims336 services$11.27 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix B4189
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims363 services$178.28 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims363 services$8.03 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims363 services$24.59 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$59.25 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 4

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

STANLEY R HALL PA-C
Physician Assistant
134 W 6TH ST
HERMANN, MO 65041
Gasconade County (573) 486-5711
MICHAEL W MAHONEY DO
Family Medicine
134 W 6TH ST
HERMANN, MO 65041
Gasconade County (573) 486-5711
HERMANN AREA HOSPITAL DISTRICT
Clinic/Center
134 W 6TH ST
HERMANN, MO 65041
Gasconade County (573) 486-5711
HERMANN AREA HOSPITAL DISTRICT
Clinic/Center (Rural Health)
134 W 6TH ST
HERMANN, MO 65041
Gasconade County (573) 486-5711

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 Donald Swayze's NPI number?

The NPI number for Donald Swayze is 1306842406. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Donald Swayze located?

Donald Swayze practices at 134 W 6th St, Hermann, MO 65041. The listed phone number is (573) 486-5711.

What is Donald Swayze's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Donald Swayze enrolled in Medicare?

Yes. Donald Swayze 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 Donald Swayze accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Donald Swayze 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 Donald Swayze affiliated with any hospitals?

According to CMS data, Donald Swayze is affiliated with Hermann Area District Hospital.

When was this NPI record last updated?

The NPPES record for Donald Swayze was last updated on February 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.