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DR. PAUL ERIC SZWEJBKA M.D., M.P.H.
NPI 1366447757
Psychiatry & Neurology - Neurology in Fayetteville, NC

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
4140 FERNCREEK DR, STE 401, FAYETTEVILLE, NC 28314(910) 323-0179(910) 323-4295 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Eric Szwejbka M.d., M.p.h. NPPES

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

DR. PAUL ERIC SZWEJBKA M.D., M.P.H. (NPI 1366447757) is an individual neurology provider in Fayetteville, North Carolina, licensed in North Carolina (200400759) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2000).

NPPES Registry Identity

NPI1366447757
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PAUL ERIC SZWEJBKACredential: M.D., M.P.H.
Location Address4140 FERNCREEK DR, STE 401Fayetteville, NC 28314-2563
Mailing Address4140 Ferncreek Dr, Ste 401Fayetteville, NC 28314-2563 · (910) 323-0179 · Fax (910) 323-4295
Phone(910) 323-0179
Fax(910) 323-4295
Sole ProprietorYes
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2000
Enumeration DateJune 14, 2005
Last NPPES UpdateNovember 8, 2007
✔ NPI 1366447757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NC · 200400759
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4140 FERNCREEK DR, Fayetteville, NC 28314
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Other Identifiers 5

Other5862590NC · Cigna Healthcare
Medicaid5903113NC
Medicare PIN2032388ANC
Other13679NC · Bcbs
Medicare UPINI20054NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Paul Eric Szwejbka M.d., M.p.h. 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 ID4183686868
PECOS Enrollment IDI20041104000046
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 7

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.

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.
323 services210 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
242 services147 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
194 services83 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services45 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
46 services46 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
45 services44 patients

Hospital Affiliations CMS Care Compare

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28314 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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality51.51
Improvement Activities40

Reported Quality Measures

Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy
19%73 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
2%552 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 390 patients
Patients totalRate: 2% · 390 patients
1%390 patients4/55-star benchmark: 100%
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.

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.

DR. EDWIN CARRAWAY NEWMAN III M.D.
Orthopaedic Surgery
4140 FERNCREEK DR, SUITE 801
FAYETTEVILLE, NC 28314
Cumberland County (910) 484-2171
MARVISTA
Specialist
4140 FERNCREEK DR, SUITE 802
FAYETTEVILLE, NC 28314
Cumberland County (910) 486-7081
A BRIGHTER FUTURE HEALTHCARE SERVICES
Home Health
4140 FERNCREEK DR, SUITE 300
FAYETTEVILLE, NC 28314
Cumberland County (910) 321-6006
A BRIGHTER FUTURE
Community/Behavioral Health
4140 FERNCREEK DR, STE 300
FAYETTEVILLE, NC 28314
Cumberland County (910) 321-6006
CAPE FEAR ORTHOPAEDIC CLINIC, PA
Orthopaedic Surgery
4140 FERNCREEK DR, SUITE 801
FAYETTEVILLE, NC 28314
Cumberland County (910) 484-2171
DR. DOUGLAS SINTON MCFARLANE M.D.
Orthopaedic Surgery
4140 FERNCREEK DR, SUITE 801
FAYETTEVILLE, NC 28314
Cumberland County (910) 484-2171
NEW DIRECTIONS TLC LLP
Social Worker (Clinical)
4140 FERNCREEK DR, SUITE 204
FAYETTEVILLE, NC 28314
Cumberland County (910) 223-7700
A BRIGHTER FUTURE HEALTHCARE SERVICES INC.
Durable Medical Equipment & Medical Supplies
4140 FERNCREEK DR, SUITE 300
FAYETTEVILLE, NC 28314
Cumberland County (910) 321-6006

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 Paul Szwejbka's NPI number?

The NPI number for Paul Szwejbka is 1366447757. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Paul Szwejbka located?

Paul Szwejbka practices at 4140 Ferncreek Dr Ste 401, Fayetteville, NC 28314. The listed phone number is (910) 323-0179.

What is Paul Szwejbka's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Paul Szwejbka enrolled in Medicare?

Yes. Paul Szwejbka 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 Paul Szwejbka accept?

Health plans from Blue Cross and Blue Shield of NC list Paul Szwejbka 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 Paul Szwejbka affiliated with any hospitals?

According to CMS data, Paul Szwejbka is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Szwejbka was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.