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KATHY D. SWAFFORD M.D.
NPI 1871583849
Pediatrics in Carbondale, IL

Active since October 21, 2005PECOS Enrolled
300 W OAK ST, CARBONDALE, IL 62901(618) 536-6621 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kathy D. Swafford M.d. NPPES

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

KATHY D. SWAFFORD M.D. (NPI 1871583849) is an individual pediatrics provider in Carbondale, Illinois, licensed in Illinois (036074783) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871583849
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATHY D. SWAFFORDCredential: M.D.
Location Address300 W OAK STCarbondale, IL 62901-1400
Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000
Phone(618) 536-6621
Sole ProprietorYes
Enumeration DateOctober 21, 2005
Last NPPES UpdateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1871583849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036074783
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Child Abuse PediatricsTaxonomy 2080C0008X · License 036074783 (IL)
300 W OAK ST, Carbondale, IL 62901
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Other Identifiers 4

Other102371IL · Healthlink
Other021175IL · Health Alliance
Other09122971IL · Blue Cross/blue Shield
Medicaid036074783IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathy D. Swafford 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathy Swafford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of Southern Illinois University
145 mi
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
NPI 1396097960 (217) 757-8100
Siu Physicians & Surgeons, Inc
145 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000

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 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

JOELI GEBHART PAC
Physician Assistant
300 W OAK ST
CARBONDALE, IL 62901
Jackson County (618) 536-6621
OLIVIA DOUTHITT PA
Physician Assistant
300 W OAK ST
CARBONDALE, IL 62901
Jackson County (618) 536-6621
EMILY ANN BERRY PA-C
Physician Assistant
300 W OAK ST
CARBONDALE, IL 62901
Jackson County (618) 536-6621
DOMINIC DWAYNE JOHNSON
Community Health Worker
300 W OAK ST
CARBONDALE, IL 62901
Jackson County (217) 891-9662
BRIAN JAY REACH M.D.
Family Medicine
300 W OAK ST
CARBONDALE, IL 62901
Jackson County (217) 545-8000
PRECIOUS CHARISSE GAHOL MD
Family Medicine
300 W OAK ST
CARBONDALE, IL 62901
Jackson County (618) 536-0221
MARYANN HANNA SABA MD
Family Medicine
300 W OAK ST
CARBONDALE, IL 62901
Jackson County (618) 536-6621
WENDY THEIN MYINT
Family Medicine
300 W OAK ST
CARBONDALE, IL 62901
Jackson County (618) 536-6621

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 Kathy Swafford's NPI number?

The NPI number for Kathy Swafford is 1871583849. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Kathy Swafford located?

Kathy Swafford practices at 300 W Oak St, Carbondale, IL 62901. The listed phone number is (618) 536-6621.

What is Kathy Swafford's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kathy Swafford enrolled in Medicare?

Yes. Kathy Swafford is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathy Swafford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Swafford reassigns Medicare benefits to 2 organizations: Board Of Trustees Of Southern Illinois University (Springfield, IL) and Siu Physicians & Surgeons, Inc (Springfield, IL). 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 Kathy Swafford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathy Swafford was last updated on June 13, 2024. 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.