SARAH ELIZABETH SWAUGER MD
NPI 1447645700
Pediatrics - Pediatric Endocrinology in Lexington, KY

Active since April 03, 2015PECOS EnrolledAccepts Medicare Assignment
2195 HARRODSBURG RD. STE.125, LEXINGTON, KY 40504(859) 323-5407 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2021, Jul 10, 2018, Jun 26, 2018 (3 updates tracked since 2018).

About Sarah Elizabeth Swauger Md NPPES

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

SARAH ELIZABETH SWAUGER MD (NPI 1447645700) is an individual pediatric endocrinology provider in Lexington, Kentucky, licensed in Kentucky (55743) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of University Of Kentucky College Of Medicine (2015).

NPPES Registry Identity

NPI1447645700
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameSARAH ELIZABETH SWAUGERCredential: MD
Location Address2195 HARRODSBURG RD. STE.125Lexington, KY 40504
Mailing Address3333 Burnet Ave, Ml 7012Cincinnati, OH 45229-3026 · (513) 636-7326 · Fax (513) 803-1174
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2015
Enumeration DateApril 3, 2015
Last NPPES UpdateOctober 12, 20213 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1447645700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in KY · 55743
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
2195 HARRODSBURG RD. STE.125, Lexington, KY 40504

Secondary Practice Location 1

Location 13333 Burnet AveCincinnati, OH 45229-3026 · Phone (513) 636-7326 · Fax (513) 803-1174

Accepted 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

Sarah Elizabeth Swauger 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 ID1557759735
PECOS Enrollment IDI20230601001378
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 Sarah Swauger reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
2195 HARRODSBURG RD STE 175
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Sarah Swauger's NPI number?

The NPI number for Sarah Swauger is 1447645700. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Sarah Swauger located?

Sarah Swauger practices at 2195 Harrodsburg Rd. Ste.125, Lexington, KY 40504. The listed phone number is (859) 323-5407.

What is Sarah Swauger's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Sarah Swauger enrolled in Medicare?

Yes. Sarah Swauger 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 Sarah Swauger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Swauger reassigns Medicare benefits to 3 organizations: University Of Kentucky (Lexington, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY) and Children's Hospital Medical Center (Cincinnati, OH). 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 Sarah Swauger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Swauger accept?

Health plans from CareSource and MedMutual list Sarah Swauger 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.

When was this NPI record last updated?

The NPPES record for Sarah Swauger was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.