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DR. MARK W MCSWAIN M.D.
NPI 1952394520
Pediatrics in Auburn, NY

Active since August 29, 2005PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
161 GENESEE ST, SUITE 203, AUBURN, NY 13021(315) 255-0947(315) 255-0942 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark W Mcswain M.d. NPPES

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

DR. MARK W MCSWAIN M.D. (NPI 1952394520) is an individual pediatrics provider in Auburn, New York, licensed in New York (201382) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Auburn Community Hospital, and is a graduate of Duke University School Of Medicine (1995).

NPPES Registry Identity

NPI1952394520
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARK W MCSWAINCredential: M.D.
Location Address161 GENESEE ST, SUITE 203Auburn, NY 13021-3451
Mailing Address161 Genesee St, Suite 203Auburn, NY 13021-3451 · (315) 255-0947 · Fax (315) 255-0942
Phone(315) 255-0947
Fax(315) 255-0942
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1995
Enumeration DateAugust 29, 2005
Last NPPES UpdateFebruary 27, 2015
✔ NPI 1952394520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 201382
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 ListedInternal MedicineTaxonomy 207R00000X · License 201382 (NY)
161 GENESEE ST, Auburn, NY 13021
Open in Google Maps ↗

Other Identifiers 2

Medicaid02364565NY
Medicare UPINDD4589NY

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. Mark W Mcswain 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 ID9032234133
PECOS Enrollment IDI20100913001090
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 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.

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.
353 services196 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.
331 services155 patients
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.
167 services93 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.
108 services108 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.
66 services64 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
26 services14 patients

Hospital Affiliations CMS Care Compare

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

Auburn Community Hospital

Acute Care Hospitals · Auburn, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330235
Location17 Lansing StreetAuburn, NY 13021 · Cayuga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13021 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.87
Promoting Interoperability89
Improvement Activities40
Cost58.37

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
76%104 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
79%145 patients4/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
78%78 patients4/55-star benchmark: 100%
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 10

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
4 suppliers11 claims28 services$6.44 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers17 claims17 services$40.25 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers14 claims84 services$24.12 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers23 claims23 services$66.29 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers16 claims16 services$21.10 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers13 claims13 services$21.89 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.

DR. JOSEPH D GRANEY M.D.
Pediatrics
161 GENESEE ST, SUITE 203
AUBURN, NY 13021
Cayuga County (315) 255-0947
AUBURN INTERNAL MEDICINE AND PEDIATRICS, LLC
Internal Medicine
161 GENESEE ST, SUITE 203
AUBURN, NY 13021
Cayuga County (315) 255-0947
RX CITY PHARMACY, INC
Pharmacy (Community/Retail Pharmacy)
161 GENESEE ST, SUITE 105
AUBURN, NY 13021
Cayuga County (315) 282-0088

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 Mark Mcswain's NPI number?

The NPI number for Mark Mcswain is 1952394520. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is Mark Mcswain located?

Mark Mcswain practices at 161 Genesee St Suite 203, Auburn, NY 13021. The listed phone number is (315) 255-0947.

What is Mark Mcswain's specialty?

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

Is Mark Mcswain enrolled in Medicare?

Yes. Mark Mcswain 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.

Is Mark Mcswain affiliated with any hospitals?

According to CMS data, Mark Mcswain is affiliated with Auburn Community Hospital.

When was this NPI record last updated?

The NPPES record for Mark Mcswain was last updated on February 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.