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SWAPNA SAMATAM MD
NPI 1346491578
Internal Medicine in Charlotte, NC

Active since October 07, 2008PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
10650 PARK RD, STE 330, CHARLOTTE, NC 28210(704) 468-8877 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 15 more (18 updates tracked since 2017).

About Swapna Samatam Md NPPES

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

SWAPNA SAMATAM MD (NPI 1346491578) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2013-00793) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1346491578
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSWAPNA SAMATAMCredential: MD
Location Address10650 PARK RD, STE 330Charlotte, NC 28210-8538
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 468-8877
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 7, 2008
Last NPPES UpdateJuly 15, 202418 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
✔ NPI 1346491578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2013-00793
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 2013-00793 (NC)
10650 PARK RD, Charlotte, NC 28210
Open in Google Maps ↗

Secondary Practice Locations 4

Location 113640 Steelecroft Pkwy, Ste 320Charlotte, NC 28278-7565 · Phone (704) 302-9462
Location 24525 Cameron Valley Pkwy, Ste 4100Charlotte, NC 28211-4369 · Phone (704) 302-9462
Location 31025 Morehead Medical Dr, Ste 500Charlotte, NC 28204-2963 · Phone (704) 446-2320
Location 410650 Park Rd, Ste 330Charlotte, NC 28210-8538 · Phone (704) 302-9462

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Swapna Samatam 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 ID6204060254
PECOS Enrollment IDI20131008000203
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Swapna Samatam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
Same address
Urogynecology and Reconstructive Pelvic Surgery
10650 PARK RD, STE 120
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1548876923 (704) 667-5770
The Charlotte-Mecklenburg Hospital Authority
0.1 mi
General Practice
10628 PARK RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1144796400 (704) 667-1000
Carolinas Medical Center
0.2 mi
Cardiovascular Disease
10502 PARK RD, SUITE 110
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1578086187 (704) 667-1540

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,440 services15 patients
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.
325 services197 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
198 services113 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
184 services110 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
110 services59 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.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
20%671 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
30%496 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%1,384 patients2/55-star benchmark: 97%
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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers49 claims202 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers15 claims30 services$1.05 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers165 claims166 services$182.56 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 20

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

PULAK DILIPKUMAR PATEL
Family Medicine
10650 PARK RD, SUITE 420
CHARLOTTE, NC 28210
Mecklenburg County (704) 302-8700
KATHRYN R. MARTIN NP
Nurse Practitioner
10650 PARK RD, STE 330
CHARLOTTE, NC 28210
Mecklenburg County (704) 468-8877
DR. WILLIAM E. BOBO M.D.
Radiology (Radiation Oncology)
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 355-2736
JOLANTA JOZEFARA MD
Internal Medicine
10650 PARK RD, SUITE 420
CHARLOTTE, NC 28210
Mecklenburg County (704) 302-8700
DR. STACEY ANN MAHADY D.O.
Allergy & Immunology
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 468-8857
RICHARD ALAN SHUGOLL MD
Internal Medicine (Cardiovascular Disease)
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-3840
EKTA B. SHAH MD
Allergy & Immunology
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-3960
JANET ARRAZCAETA PHARMD
Pharmacist (Oncology)
10650 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (786) 218-7839

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 Swapna Samatam's NPI number?

The NPI number for Swapna Samatam is 1346491578. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is Swapna Samatam located?

Swapna Samatam practices at 10650 Park Rd Ste 330, Charlotte, NC 28210. The listed phone number is (704) 468-8877.

What is Swapna Samatam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Swapna Samatam enrolled in Medicare?

Yes. Swapna Samatam 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.

Which organizations bill Medicare for Swapna Samatam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swapna Samatam reassigns Medicare benefits to 3 organizations: Carolinas Physicians Network Inc (Charlotte, NC), The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC) and Carolinas Medical Center (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Swapna Samatam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swapna Samatam accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list Swapna Samatam 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 Swapna Samatam affiliated with any hospitals?

According to CMS data, Swapna Samatam is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Swapna Samatam was last updated on July 15, 2024. 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.