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DR. JEREMY LLOYD SWAIN D.O.
NPI 1417160417
Family Medicine in Killeen, TX

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
3800 S W S YOUNG DR STE 402, KILLEEN, TX 76542(254) 833-8456(254) 833-9162 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeremy Lloyd Swain D.o. NPPES

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

DR. JEREMY LLOYD SWAIN D.O. (NPI 1417160417) is an individual family medicine provider in Killeen, Texas, licensed in Texas (N9415) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Seton Medical Center Harker Heights, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2005).

NPPES Registry Identity

NPI1417160417
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEREMY LLOYD SWAINCredential: D.O.
Location Address3800 S W S YOUNG DR STE 402Killeen, TX 76542-3374
Mailing Address100 W Central Texas Expy Ste 210Harker Heights, TX 76548-7469 · (254) 618-1186 · Fax (512) 666-3748
Phone(254) 833-8456
Fax(254) 833-9162
Sole ProprietorYes
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2005
Enumeration DateMay 7, 2007
Last NPPES UpdateApril 15, 2019
✔ NPI 1417160417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · N9415✔ Licensed in GA · 059211
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3800 S W S YOUNG DR STE 402, Killeen, TX 76542
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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. Jeremy Lloyd Swain D.o. 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 ID6305024423
PECOS Enrollment IDI20110620000643
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 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
134 services68 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.
100 services77 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
89 services77 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.
48 services36 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
38 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Seton Medical Center Harker Heights

Acute Care Hospitals · Harker Heights, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670080
Location850 W Central Texas ExpresswayHarker Heights, TX 76548 · Bell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76542 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
1%261 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
14%475 patients1/55-star benchmark: 85%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%157 patients1/55-star benchmark: 90%
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 3

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

SUZANNE NICOLE PHILLIPS RN, NP
Nurse Practitioner (Family)
3800 S W S YOUNG DR STE 402
KILLEEN, TX 76542
Bell County (254) 618-4920
BRANDY L. LIBBY WHNP
Nurse Practitioner (Women's Health)
3800 S W S YOUNG DR STE 402
KILLEEN, TX 76542
Bell County (254) 618-4960
RIESA ANN KLAPPROTH M.D.
Family Medicine
3800 S W S YOUNG DR STE 402
KILLEEN, TX 76542
Bell County (254) 618-4960

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 Jeremy Swain's NPI number?

The NPI number for Jeremy Swain is 1417160417. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Jeremy Swain located?

Jeremy Swain practices at 3800 S W S Young Dr Ste 402, Killeen, TX 76542. The listed phone number is (254) 833-8456.

What is Jeremy Swain's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeremy Swain enrolled in Medicare?

Yes. Jeremy Swain 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 Jeremy Swain accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Jeremy Swain 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 Jeremy Swain affiliated with any hospitals?

According to CMS data, Jeremy Swain is affiliated with Seton Medical Center Harker Heights.

When was this NPI record last updated?

The NPPES record for Jeremy Swain was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.