MARK ALAN SWARTZ MD
NPI 1982679940
Family Medicine in Chambersburg, PA

Q: What is Mark Swartz's NPI number?

The NPI number for Mark Swartz is 1982679940. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Mark Swartz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Swartz was last updated on December 19, 2020. 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.

Active since February 22, 2006PECOS Enrolled

82.54/100

CMS Quality Rating

761 5TH AVE, SUITE D, CHAMBERSBURG, PA 17201(717) 261-1269(717) 261-0664 Get Directions Write a Review

NPPES record last updated: December 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mark Alan Swartz Md NPPES

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

MARK ALAN SWARTZ MD (NPI 1982679940) is an individual family medicine provider in Chambersburg, Pennsylvania, licensed in Pennsylvania (MD0393151E) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982679940

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK ALAN SWARTZCredential: MD

Location Address761 5TH AVE, SUITE DChambersburg, PA 17201

Mailing Address761 5th Ave, Suite DChambersburg, PA 17201 · (717) 261-1269 · Fax (717) 261-0664

Phone(717) 261-1269

Fax(717) 261-0664

Sole ProprietorNo

Enumeration DateFebruary 22, 2006

Last NPPES UpdateDecember 19, 2020

NPPES CertifiedDecember 19, 2020

✔ NPI 1982679940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD0393151E

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.

761 5TH AVE, Chambersburg, PA 17201

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Other Identifiers 1

Other50003537Capital Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Alan Swartz Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

82.54/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.62

Promoting Interoperability

100

Improvement Activities

Cost

65.18

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

60%433 patients3/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

86%222 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%1,396 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%4,044 patients4/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

12%370 patients1/55-star benchmark: 98%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

86%433 patients4/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

94%1,051 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

80%197 patients4/55-star benchmark: 98%

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 4

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

17 suppliers76 claims134 services$6.25 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers20 claims20 services$1.10 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$4.75 avg. paid by Medicare

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419

DME-Orthotic Devices · category DF010N

1 supplier12 claims720 services$1.53 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 9

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

YOGINDRA S BALHARA MD

Internal Medicine

761 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 261-2583

5TH AVENUE CHIROPRACTIC

Chiropractor

761 5TH AVE, SUITE F
CHAMBERSBURG, PA 17201

Franklin County (717) 263-6101

DR. BRYAN CURTUS STAKER D.C.

Chiropractor

761 5TH AVE, # F
CHAMBERSBURG, PA 17201

Franklin County (717) 263-6101

KAREN CHIN

Physician Assistant (Medical)

761 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 261-2583

BALHARA INTERNAL MEDICINE ASSOCIATES PC

Internal Medicine

761 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 261-2583

DR. J. THOMAS SOLIDAY JR. DC

Chiropractor

761 5TH AVE, SUITE F
CHAMBERSBURG, PA 17201

Franklin County (717) 263-6101

FIFTH AVENUE CHIROPRACTIC, INC

Chiropractor

761 5TH AVE, SUITE F
CHAMBERSBURG, PA 17201

Franklin County (717) 263-6101

MS. BARBARA ALICE DICKEY MSW, LCSW, MED

Social Worker (Clinical)

761 5TH AVE, SUITE B
CHAMBERSBURG, PA 17201

Franklin County (717) 660-2114

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 Swartz's NPI number?

The NPI number for Mark Swartz is 1982679940. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Mark Swartz located?

Mark Swartz practices at 761 5th Ave Suite D, Chambersburg, PA 17201. The listed phone number is (717) 261-1269.

What is Mark Swartz's specialty?

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

Is Mark Swartz enrolled in Medicare?

Yes. Mark Swartz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Swartz was last updated on December 19, 2020. 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.