DR. STEVEN MICHAEL SWAIN M.D.
NPI 1952392326
Family Medicine in East Liverpool, OH

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
78.35/100
CMS Quality Rating
15655 STATE ROUTE 170 STE H, EAST LIVERPOOL, OH 43920(330) 932-0183(330) 932-0240 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2026, Dec 7, 2022 (2 updates tracked since 2022).

About Dr. Steven Michael Swain M.d. NPPES

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

DR. STEVEN MICHAEL SWAIN M.D. (NPI 1952392326) is an individual family medicine provider in East Liverpool, Ohio, licensed in Ohio (35083731S) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and maintains a secondary practice location in East Liverpool.

NPPES Registry Identity

NPI1952392326
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEVEN MICHAEL SWAINCredential: M.D.
Location Address15655 STATE ROUTE 170 STE HEast Liverpool, OH 43920-9672
Mailing Address425 W 5th StEast Liverpool, OH 43920-2498 · (330) 385-7200
Fax(330) 932-0240
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2002
Enumeration DateNovember 3, 2005
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1952392326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35083731S
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.
15655 STATE ROUTE 170 STE H, East Liverpool, OH 43920

Secondary Practice Location 1

Location 1425 W 5th StEast Liverpool, OH 43920-2405 · Phone (330) 385-7200

Other Identifiers 1

Medicaid2572087OH

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

Dr. Steven Michael 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 ID8820024615
PECOS Enrollment IDI20050713000295
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 11

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 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.
216 services96 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.
118 services72 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.
81 services51 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
29 services29 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
27 services27 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
25 services24 patients

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

East Liverpool City Hospital

Acute Care Hospitals · East Liverpool, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360096
Location425 West 5th StreetEast Liverpool, OH 43920 · Columbiana County
Emergency services

Salem Regional Medical Center

Acute Care Hospitals · Salem, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360185
Location1995 East State StreetSalem, OH 44460 · Columbiana County
Emergency services

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43920 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost51.73

Referred Medical Equipment & Supplies CMS DME claims 11

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
7 suppliers16 claims36 services$4.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims18 services$0.81 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers12 claims12 services$101.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims21 services$36.18 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers14 claims51 services$2.38 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers14 claims14 services$32.64 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.

Obstetrics & Gynecology
15655 STATE ROUTE 170 STE H
EAST LIVERPOOL, OH 43920
Nurse Practitioner (Family)
15655 STATE ROUTE 170 STE H
EAST LIVERPOOL, OH 43920
Nurse Practitioner (Family)
15655 STATE ROUTE 170 STE H
EAST LIVERPOOL, OH 43920

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 Steven Swain's NPI number?

The NPI number for Steven Swain is 1952392326. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Steven Swain located?

Steven Swain practices at 15655 State Route 170 Ste H, East Liverpool, OH 43920. The listed phone number is (330) 932-0183.

What is Steven Swain's specialty?

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

Is Steven Swain enrolled in Medicare?

Yes. Steven 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 Steven Swain accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Steven 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.

Is Steven Swain affiliated with any hospitals?

According to CMS data, Steven Swain is affiliated with St Elizabeth Youngstown Hospital, East Liverpool City Hospital, Salem Regional Medical Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Steven Swain was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.