MR. BRIAN J SZWARC M.D.
NPI 1366553349
Otolaryngology - Plastic Surgery within the Head & Neck in Thomasville, GA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
82.6/100
CMS Quality Rating
100 MIMOSA DR, 3RD FLOOR, THOMASVILLE, GA 31792(229) 226-1443(229) 226-3035 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Brian J Szwarc M.d. NPPES

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

MR. BRIAN J SZWARC M.D. (NPI 1366553349) is an individual plastic surgery within the head & neck provider in Thomasville, Georgia, licensed in Georgia (044119) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Archbold Memorial, and is a graduate of University Of Massachusetts Medical School (1992).

NPPES Registry Identity

NPI1366553349
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameMR. BRIAN J SZWARCCredential: M.D.
Location Address100 MIMOSA DR, 3RD FLOORThomasville, GA 31792-6676
Mailing Address301 W. Hansell StreetThomasville, GA 31792-6678 · (229) 226-1443 · Fax (229) 226-3035
Fax(229) 226-3035
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1992
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 1, 2015
NPI 1366553349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License Licensed in GA · 044119
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
100 MIMOSA DR, Thomasville, GA 31792

Other Identifiers 3

Medicare UPING54575GA
Medicare ID-Type Unspecified04BDCJDGA
Medicaid00755939BGA

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

Mr. Brian J Szwarc M.d. 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 ID2365527546
PECOS Enrollment IDI20101210000190
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 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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
2,330 services44 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
431 services18 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.
331 services229 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
163 services98 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
123 services123 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.
114 services57 patients

Hospital Affiliations CMS Care Compare 2

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

Archbold Memorial

Acute Care Hospitals · Thomasville, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110038
Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County
Emergency services Birthing friendly

Archbold Grady

Acute Care Hospitals · Cairo, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110121
Location1155 5th Street, SECairo, GA 39828 · Grady County
Birthing friendly

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.

82.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.21
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%98 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
31%26 patients3/55-star benchmark: 100%
Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis
91%35 patients
Documentation of Current Medications in the Medical Record
100%139 patients5/55-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.

Urology
100 MIMOSA DR
THOMASVILLE, GA 31792
Orthopaedic Surgery
100 MIMOSA DR
THOMASVILLE, GA 31792
Physician Assistant
100 MIMOSA DR
THOMASVILLE, GA 31792
Physician Assistant (Surgical)
100 MIMOSA DR
THOMASVILLE, GA 31792
Specialist
100 MIMOSA DR
THOMASVILLE, GA 31792
Registered Nurse (Registered Nurse First Assistant)
100 MIMOSA DR
THOMASVILLE, GA 31792
Internal Medicine (Interventional Cardiology)
100 MIMOSA DR
THOMASVILLE, GA 31792
Surgery
100 MIMOSA DR
THOMASVILLE, GA 31792

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 Brian Szwarc's NPI number?

The NPI number for Brian Szwarc is 1366553349. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Brian Szwarc located?

Brian Szwarc practices at 100 Mimosa Dr 3rd Floor, Thomasville, GA 31792. The listed phone number is (229) 226-1443.

What is Brian Szwarc's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Brian Szwarc enrolled in Medicare?

Yes. Brian Szwarc 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 Brian Szwarc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Brian Szwarc 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 Brian Szwarc affiliated with any hospitals?

According to CMS data, Brian Szwarc is affiliated with Archbold Memorial and Archbold Grady.

When was this NPI record last updated?

The NPPES record for Brian Szwarc was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.