STEPHEN SWEARINGEN MD
NPI 1306853627
Radiology - Diagnostic Radiology in San Marcos, TX

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
1301 WONDER WORLD DR, SAN MARCOS, TX 78666(512) 396-8565(512) 396-8567 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2021, Dec 22, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Stephen Swearingen Md NPPES

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

STEPHEN SWEARINGEN MD (NPI 1306853627) is an individual diagnostic radiology provider in San Marcos, Texas, licensed in Texas (K2807) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Guadalupe Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1306853627
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSTEPHEN SWEARINGENCredential: MD
Location Address1301 WONDER WORLD DRSan Marcos, TX 78666-7533
Mailing AddressPo Box 1005San Marcos, TX 78667-1005 · (512) 396-8565 · Fax (512) 396-8567
Fax(512) 396-8567
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 29, 20214 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
NPI 1306853627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in TX · K2807 Licensed in MO · 2019014129
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1301 WONDER WORLD DR, San Marcos, TX 78666

Secondary Practice Locations 3

Location 17703 Floyd Curl DrSan Antonio, TX 78229-3901 · Phone (210) 257-1400 · Fax (210) 257-1427
Location 22301 Holmes StKansas City, MO 64108-2640 · Phone (816) 404-0690
Location 37900 Lees Summit RdKansas City, MO 64139-1236 · Phone (816) 404-0690

Other Identifiers 3

Medicaid125011003TX
Medicaid200071087MO
Other125011004TX · Cidc

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

Stephen Swearingen 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 ID8123176005
PECOS Enrollment IDI20090504000090
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 86

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
513 services438 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
386 services386 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
385 services385 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
207 services203 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
195 services186 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
145 services134 patients

Hospital Affiliations CMS Care Compare 5

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

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Connally Memorial Medical Center

Acute Care Hospitals · Floresville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450108
Location499 10th StreetFloresville, TX 78114 · Wilson County
Emergency services

Memorial Hospital

Acute Care Hospitals · Gonzales, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450235
Location1110 North Sarah Dewitt DriveGonzales, TX 78629 · Gonzales County
Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78666 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1301 WONDER WORLD DR, CENTRAL TEXAS MEDICAL CENTER
SAN MARCOS, TX 78666
Nurse Anesthetist, Certified Registered
1301 WONDER WORLD DR
SAN MARCOS, TX 78666
Radiology (Diagnostic Radiology)
1301 WONDER WORLD DR
SAN MARCOS, TX 78666
Nurse Anesthetist, Certified Registered
1301 WONDER WORLD DR
SAN MARCOS, TX 78666
Physical Therapist
1301 WONDER WORLD DR
SAN MARCOS, TX 78666
Radiology (Diagnostic Radiology)
1301 WONDER WORLD DR
SAN MARCOS, TX 78666
Emergency Medicine
1301 WONDER WORLD DR
SAN MARCOS, TX 78666
Nurse Practitioner
1301 WONDER WORLD DR
SAN MARCOS, TX 78666

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 Stephen Swearingen's NPI number?

The NPI number for Stephen Swearingen is 1306853627. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Stephen Swearingen located?

Stephen Swearingen practices at 1301 Wonder World Dr, San Marcos, TX 78666. The listed phone number is (512) 396-8565.

What is Stephen Swearingen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Stephen Swearingen enrolled in Medicare?

Yes. Stephen Swearingen 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 Stephen Swearingen accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Stephen Swearingen 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 Stephen Swearingen affiliated with any hospitals?

According to CMS data, Stephen Swearingen is affiliated with Guadalupe Regional Medical Center, Connally Memorial Medical Center, Memorial Hospital, Christus Santa Rosa Hospital-San Marcos and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Swearingen was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.