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KATIE MARIE SWAFFORD-HARTMAN NP
NPI 1639572340
Nurse Practitioner - Family in Dayton, TN

Active since October 08, 2014PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
7693 RHEA COUNTY HWY, SUITE 3, DAYTON, TN 37321(423) 570-8545 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katie Marie Swafford-hartman Np NPPES

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

KATIE MARIE SWAFFORD-HARTMAN NP (NPI 1639572340) is an individual family provider in Dayton, Tennessee, licensed in Tennessee (19225) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1639572340
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATIE MARIE SWAFFORD-HARTMANCredential: NP
Location Address7693 RHEA COUNTY HWY, SUITE 3Dayton, TN 37321-6082
Mailing Address7693 Rhea County Hwy, Suite 3Dayton, TN 37321-6082 · (423) 570-8545
Phone(423) 570-8545
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 8, 2014
✔ NPI 1639572340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 19225
7693 RHEA COUNTY HWY, Dayton, TN 37321
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.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

Katie Marie Swafford-hartman Np 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 ID9436472032
PECOS Enrollment IDI20150107001333
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.
89 services62 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.
56 services48 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
46 services30 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.
37 services32 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
27 services13 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Rhea Medical Center

Critical Access Hospitals · Dayton, TN
OwnershipGovernment - Local
CMS Certification Number441310
Location9400 Rhea County HighwayDayton, TN 37321 · Rhea County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37321 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier14 claims14 services$15.98 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier17 claims17 services$49.15 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims990 services$0.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers18 claims18 services$174.82 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$23.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

CHRISTOPHER REYNOLDS HORTON M.D.
Family Medicine
7693 RHEA COUNTY HWY, SUITE 3
DAYTON, TN 37321
Rhea County (423) 570-8545
ELIZABETH CAITLIN SWAFFORD DPT
Physical Therapist
7693 RHEA COUNTY HWY, STE 2
DAYTON, TN 37321
Rhea County (423) 570-0907
IAN LUKE ANDREWS CPNP
Nurse Practitioner (Pediatrics)
7693 RHEA COUNTY HWY
DAYTON, TN 37321
Rhea County (423) 594-8700
OLUSINA ADEWALE M.D.
General Practice
7693 RHEA COUNTY HWY, #8
DAYTON, TN 37321
Rhea County (423) 775-8117

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 Katie Swafford-hartman's NPI number?

The NPI number for Katie Swafford-hartman is 1639572340. It was assigned to this individual provider in the NPPES registry on October 8, 2014.

Where is Katie Swafford-hartman located?

Katie Swafford-hartman practices at 7693 Rhea County Hwy Suite 3, Dayton, TN 37321. The listed phone number is (423) 570-8545.

What is Katie Swafford-hartman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katie Swafford-hartman enrolled in Medicare?

Yes. Katie Swafford-hartman 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 Katie Swafford-hartman accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Katie Swafford-hartman 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 Katie Swafford-hartman affiliated with any hospitals?

According to CMS data, Katie Swafford-hartman is affiliated with Memorial Healthcare System, Inc and Rhea Medical Center.

When was this NPI record last updated?

The NPPES record for Katie Swafford-hartman was last updated on October 8, 2014. 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.