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DR. DALE G SWANHOLM M.D.
NPI 1730187444
Family Medicine in Highland Village, TX

Active since July 07, 2005PECOS Enrolled
2300 HIGHLAND VILLAGE RD, STE 600, HIGHLAND VILLAGE, TX 75077(972) 317-0331(972) 317-3811 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dale G Swanholm M.d. NPPES

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

DR. DALE G SWANHOLM M.D. (NPI 1730187444) is an individual family medicine provider in Highland Village, Texas, licensed in Texas (E5263) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730187444
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DALE G SWANHOLMCredential: M.D.
Location Address2300 HIGHLAND VILLAGE RD, STE 600Highland Village, TX 75077-7148
Mailing Address2300 Highland Village Rd, Ste 600Highland Village, TX 75077-8102 · (972) 317-0331 · Fax (972) 317-3811
Phone(972) 317-0331
Fax(972) 317-3811
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateApril 21, 2021
NPPES CertifiedApril 21, 2021
✔ NPI 1730187444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · E5263
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.

2300 HIGHLAND VILLAGE RD, Highland Village, TX 75077
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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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dale G Swanholm M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75077 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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
69%7,414 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
9%336 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%247 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
18%2,298 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%2,298 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
81%2,298 patients5/55-star benchmark: 79%
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers27 claims86 services$5.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims13 services$0.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$63.39 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$29.05 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 suppliers14 claims14 services$184.33 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 14

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

BENJAMIN JOSEPH LINDEN M.D.
Family Medicine
2300 HIGHLAND VILLAGE RD, STE 600
HIGHLAND VILLAGE, TX 75077
Denton County (972) 317-0331
PATHFINDER COUNSELING CENTER
Counselor (Professional)
2300 HIGHLAND VILLAGE RD
HIGHLAND VILLAGE, TX 75077
Denton County (972) 370-4411
DR. JOHN MICHAEL TILLEY M.D.
Family Medicine
2300 HIGHLAND VILLAGE RD, STE 600
HIGHLAND VILLAGE, TX 75077
Denton County (972) 317-0331
ST. MARY'S II CENTER FOR EXCEPTIONAL CHILDREN,LLC
Counselor (Mental Health)
2300 HIGHLAND VILLAGE RD, BUILDING 8, SUITE 810
HIGHLAND VILLAGE, TX 75077
Denton County (972) 966-1080
DALE G SWANHOLM MD PA
Family Medicine
2300 HIGHLAND VILLAGE RD, STE#600
HIGHLAND VILLAGE, TX 75077
Denton County (972) 317-0331
WELDING EYECARE,PLLC
Optometrist
2300 HIGHLAND VILLAGE RD, SUITE 200
HIGHLAND VILLAGE, TX 75077
Denton County (972) 317-3888
AIMEE TANOS LPC
Counselor (Professional)
2300 HIGHLAND VILLAGE RD
HIGHLAND VILLAGE, TX 75077
Denton County (817) 726-8927
BENJAMIN J LINDEN MD PA
Family Medicine
2300 HIGHLAND VILLAGE RD, STE 600
HIGHLAND VILLAGE, TX 75077
Denton County (972) 317-0331

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 Dale Swanholm's NPI number?

The NPI number for Dale Swanholm is 1730187444. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Dale Swanholm located?

Dale Swanholm practices at 2300 Highland Village Rd Ste 600, Highland Village, TX 75077. The listed phone number is (972) 317-0331.

What is Dale Swanholm's specialty?

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

Is Dale Swanholm enrolled in Medicare?

Yes. Dale Swanholm is registered in the Medicare PECOS enrollment system.

What insurance does Dale Swanholm accept?

Health plans from Blue Cross and Blue Shield of Texas list Dale Swanholm 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 Dale Swanholm was last updated on April 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.