DR. DONALD EDWARD SWEITZER MD
NPI 1356427496
Plastic Surgery in Charleston, WV

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
600 MORRIS ST, STE 103, CHARLESTON, WV 25301(304) 388-7040(304) 388-7041 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2016, Jun 14, 2016 (2 updates tracked since 2016).

About Dr. Donald Edward Sweitzer Md NPPES

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

DR. DONALD EDWARD SWEITZER MD (NPI 1356427496) is an individual plastic surgery provider in Charleston, West Virginia, licensed in West Virginia (2867) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (1984).

NPPES Registry Identity

NPI1356427496
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. DONALD EDWARD SWEITZERCredential: MD
Location Address600 MORRIS ST, STE 103Charleston, WV 25301-1409
Mailing Address600 Morris St, Ste 103Charleston, WV 25301-1409 · (304) 388-7040 · Fax (304) 388-7041
Fax(304) 388-7041
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1984
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 10, 20162 updates tracked since enumeration
NPI 1356427496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in WV · 2867
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
600 MORRIS ST, Charleston, WV 25301

Other Identifiers 3

Medicaid6941656VA
Medicare UPINE66913
Medicare ID-Type Unspecified3071459

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. Donald Edward Sweitzer 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 ID941253439
PECOS Enrollment IDI20160712002057
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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
131 services18 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
45 services15 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Family Medicine
600 MORRIS ST, SUITE 103
CHARLESTON, WV 25301
Surgery
600 MORRIS ST, SUITE 103
CHARLESTON, WV 25301
Internal Medicine (Critical Care Medicine)
600 MORRIS ST
CHARLESTON, WV 25301
Internal Medicine
600 MORRIS ST, SUITE 102
CHARLESTON, WV 25301
Surgery
600 MORRIS ST, SUITE 103
CHARLESTON, WV 25301
Internal Medicine
600 MORRIS ST, SUITE 102
CHARLESTON, WV 25301

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 Sweitzer's NPI number?

The NPI number for Donald Sweitzer is 1356427496. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Donald Sweitzer located?

Donald Sweitzer practices at 600 Morris St Ste 103, Charleston, WV 25301. The listed phone number is (304) 388-7040.

What is Donald Sweitzer's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Donald Sweitzer enrolled in Medicare?

Yes. Donald Sweitzer 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 Sweitzer accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Donald Sweitzer 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 Sweitzer affiliated with any hospitals?

According to CMS data, Donald Sweitzer is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Sweitzer was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.