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SAMANTHA RAE SWAIN M.D.
NPI 1871938951
Allergy & Immunology in Santa Monica, CA

Active since May 02, 2013PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
1245 16TH ST STE 303, SANTA MONICA, CA 90404(310) 481-4646(310) 899-7599 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2019, Jul 3, 2019, Mar 17, 2018 (3 updates tracked since 2018).

About Samantha Rae Swain M.d. NPPES

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

SAMANTHA RAE SWAIN M.D. (NPI 1871938951) is an individual allergy & immunology provider in Santa Monica, California, licensed in California (A132703) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Encino, and is a graduate of Temple University School Of Medicine (2013).

NPPES Registry Identity

NPI1871938951
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameSAMANTHA RAE SWAINCredential: M.D.
Location Address1245 16TH ST STE 303Santa Monica, CA 90404
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 481-4646
Fax(310) 899-7599
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2013
Enumeration DateMay 2, 2013
Last NPPES UpdateJuly 29, 20193 updates tracked since enumeration
✔ NPI 1871938951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in CA · A132703
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedInternal MedicineTaxonomy 207R00000X · License A132703 (CA)
1245 16TH ST STE 303, Santa Monica, CA 90404
Open in Google Maps ↗

Secondary Practice Location 1

Location 115503 Ventura Blvd Ste 340Encino, CA 91436-3132 · Phone (818) 461-8148 · Fax (818) 461-8105

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

Samantha Rae Swain M.d. 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 ID2668791617
PECOS Enrollment IDI20151001002675
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 Reassignment

Medicare enrollment records show Samantha Swain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Regents Of The University Of California
3.9 mi
Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group
NPI 1235107566 (310) 794-1276

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

Areas of Expertise CMS Part B claims 8

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
2,123 services45 patients
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.
146 services110 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.
57 services57 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.
53 services44 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
42 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients

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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

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.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers22 claims64 services$18.29 avg. paid by Medicare
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims840 services$35.38 avg. paid by Medicare
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg J1568
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims1,040 services$32.90 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
2 suppliers22 claims135 services$2.37 avg. paid by Medicare
Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052
Treatment-Chemotherapy · category RH012N
2 suppliers17 claims17 services$309.18 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 3

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

LORRAINE ANDERSON MD
Allergy & Immunology
1245 16TH ST STE 303
SANTA MONICA, CA 90404
Los Angeles County (310) 481-4646
JENNIFER WENJING XU MD
Allergy & Immunology
1245 16TH ST STE 303
SANTA MONICA, CA 90404
Los Angeles County (310) 481-4646
ZIWEI WANG
Allergy & Immunology
1245 16TH ST STE 303
SANTA MONICA, CA 90404
Los Angeles County (310) 481-4646

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 Samantha Swain's NPI number?

The NPI number for Samantha Swain is 1871938951. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Where is Samantha Swain located?

Samantha Swain practices at 1245 16th St Ste 303, Santa Monica, CA 90404. The listed phone number is (310) 481-4646.

What is Samantha Swain's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Samantha Swain enrolled in Medicare?

Yes. Samantha 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.

Which organization bills Medicare for Samantha Swain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Swain reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, CA). The 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 Samantha Swain'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 Samantha Swain was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.