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JASON BRYCE SWALM D.O.
NPI 1962745950
Family Medicine in Martinsburg, WV

Active since March 28, 2013PECOS Enrolled
94.1/100
CMS Quality Rating
430 CERITOS TRL, MARTINSBURG, WV 25403(304) 267-6249(304) 267-6248 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2021, Jan 12, 2021, Apr 16, 2020 and 3 more (6 updates tracked since 2016).

About Jason Bryce Swalm D.o. NPPES

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

JASON BRYCE SWALM D.O. (NPI 1962745950) is an individual family medicine provider in Martinsburg, West Virginia, licensed in West Virginia (2952) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962745950
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJASON BRYCE SWALMCredential: D.O.
Location Address430 CERITOS TRLMartinsburg, WV 25403-0400
Mailing Address2500 Foundation WayMartinsburg, WV 25401-9000 · (304) 264-9202 · Fax (304) 264-9042
Phone(304) 267-6249
Fax(304) 267-6248
Sole ProprietorYes
Enumeration DateMarch 28, 2013
Last NPPES UpdateJanuary 27, 20216 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1962745950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 2952
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2952 (WV)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
430 CERITOS TRL, Martinsburg, WV 25403
Open in Google Maps ↗

Other Identifiers 1

Medicaid1962745950WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Bryce Swalm D.o. 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

3

Medicare enrollment records show Jason Swalm reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Healthcare Physicians Inc
3.6 mi
Anesthesiology
2500 FOUNDATION WAY
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • 208 clinicians in this Medicare group
NPI 1417371329 (304) 264-9202
University Hematology And Oncology
3.7 mi
Clinical Medical Laboratory
2008 PROFESSIONAL CT
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia University Medical Corporation
  • 2,471 clinicians in this Medicare group
NPI 1306125612 (304) 293-7401
Jefferson Urgent Care, LLC
18 mi
General Practice
84 SOMERSET BLVD
Charles Town, WV 25414
  • Reassigned Medicare billing, West Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1992726236 (304) 728-8543

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 7

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.
363 services186 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.
113 services113 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.
35 services31 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services24 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
18 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25403 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers20 claims22 services$32.20 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
1 supplier11 claims19 services$18.40 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers15 claims15 services$20.41 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers11 claims11 services$13.60 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers25 claims60 services$2.33 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier27 claims27 services$37.68 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 4

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

CITY HOSPITAL INC
General Acute Care Hospital
430 CERITOS TRL
MARTINSBURG, WV 25403
Berkeley County (304) 267-6249
MISTY DAWN COOK-MCGOWAN
Student in an Organized Health Care Education/Training Program
430 CERITOS TRL
MARTINSBURG, WV 25403
Berkeley County (240) 500-0694
DR. ANGELA D CHERRY M.D.
Family Medicine
430 CERITOS TRL
MARTINSBURG, WV 25403
Berkeley County (304) 267-6249
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Family Medicine
430 CERITOS TRL
MARTINSBURG, WV 25403
Berkeley County (304) 267-6249

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 Jason Swalm's NPI number?

The NPI number for Jason Swalm is 1962745950. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Jason Swalm located?

Jason Swalm practices at 430 Ceritos Trl, Martinsburg, WV 25403. The listed phone number is (304) 267-6249.

What is Jason Swalm's specialty?

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

Is Jason Swalm enrolled in Medicare?

Yes. Jason Swalm is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jason Swalm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Swalm reassigns Medicare benefits to 3 organizations: University Healthcare Physicians Inc (Martinsburg, WV), University Hematology And Oncology (Martinsburg, WV) and Jefferson Urgent Care, LLC (Charles Town, WV). 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 Jason Swalm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Swalm accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Jason Swalm 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 Jason Swalm was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.