DONALD TODD SWAIN DO
NPI 1801418223
Family Medicine in San Tan Valley, AZ

Active since May 07, 2020PECOS EnrolledAccepts Medicare Assignment
37100 N GANTZEL RD STE 201, SAN TAN VALLEY, AZ 85140(801) 319-1322 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, May 7, 2020 (2 updates tracked since 2020).

About Donald Todd Swain Do NPPES

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

DONALD TODD SWAIN DO (NPI 1801418223) is an individual family medicine provider in San Tan Valley, Arizona, licensed in Arizona (009789) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1801418223
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDONALD TODD SWAINCredential: DO
Location Address37100 N GANTZEL RD STE 201San Tan Valley, AZ 85140-7352
Mailing Address37100 N Gantzel Rd Ste 201San Tan Valley, AZ 85140-7352
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 7, 2020
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
NPI 1801418223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 009789
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.
37100 N GANTZEL RD STE 201, San Tan Valley, AZ 85140

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

Donald Todd Swain Do 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 ID4789046855
PECOS Enrollment IDI20230822001296
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 10

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.
395 services210 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.
128 services128 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
89 services73 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
34 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85140 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 12

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

Family Medicine
37100 N GANTZEL RD STE 201
QUEEN CREEK, AZ 85140
Family Medicine
37100 N GANTZEL RD STE 201
SAN TAN VALLEY, AZ 85140
Family Medicine
37100 N GANTZEL RD STE 201
SAN TAN VALLEY, AZ 85140
Nurse Practitioner (Primary Care)
37100 N GANTZEL RD STE 201
SAN TAN VALLEY, AZ 85140
Nurse Practitioner (Family)
37100 N GANTZEL RD STE 201
SAN TAN VALLEY, AZ 85140
Internal Medicine
37100 N GANTZEL RD STE 201
SAN TAN VALLEY, AZ 85140
Clinic/Center (Primary Care)
37100 N GANTZEL RD STE 201
QUEEN CREEK, AZ 85140
Nurse Practitioner (Family)
37100 N GANTZEL RD STE 201
SAN TAN VALLEY, AZ 85140

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 Donald Swain's NPI number?

The NPI number for Donald Swain is 1801418223. It was assigned to this individual provider in the NPPES registry on May 7, 2020.

Where is Donald Swain located?

Donald Swain practices at 37100 N Gantzel Rd Ste 201, San Tan Valley, AZ 85140. The listed phone number is (801) 319-1322.

What is Donald Swain's specialty?

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

Is Donald Swain enrolled in Medicare?

Yes. Donald 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 Donald Swain accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Donald 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.

When was this NPI record last updated?

The NPPES record for Donald Swain was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.