1. Home
  2. Directory
  3. Pennsylvania
  4. Chambersburg
  5. Family Medicine
  6. NPI Profile

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

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: November 01, 2026.

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
Open in Google Maps ↗

Other Identifiers 1

Other50003537Capital Blue Cross

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Pinnacle Health Medical Services
Same address
Pediatric Urology
761 5TH AVE STE D
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1053097238 (717) 988-0090

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

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
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

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.

Which organization bills Medicare for Mark Swartz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Swartz reassigns Medicare benefits to Pinnacle Health Medical Services (Chambersburg, PA). 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 Mark Swartz'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 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.