Dr. Mark W. McSwain, MD

  • Auburn, NY
  • Pediatrician
NPI1952394520PAC ID9032234133
Medicare services, 2024
1,313
Medicare patients, 2024
240
Part D claims, 2024
5,800
MIPS score, 2024
76
Hospital affiliations
1
Practice address
37 W Garden St, Auburn, NY 13021
Practice phone
Call (315) 567-0455
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Auburn Memorial Medical Services

Auburn, New York

See all 10 affiliations

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Dr. Mark W. McSwain is a pediatrician in Auburn, New York

Dr. McSwain practices at Auburn Memorial Medical Services in Auburn, New York.

Dr. McSwain's NPI, 1952394520, was assigned on August 29, 2005. Dr. McSwain graduated from Duke University School Of Medicine in 1994. Dr. McSwain holds New York license 201382.

NPI and contact details
Medicare PAC ID
9032234133
NPI enumeration date
August 29, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(315) 567-0455
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
57
Medical school graduation
1994

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Mark W. McSwain practices at Auburn Memorial Medical Services in Auburn, New York

Dr. McSwain's primary practice is Auburn Memorial Medical Services, at 37 W Garden St, Auburn, NY 13021 in Cayuga County. The practice phone is (315) 567-0455.

  • Auburn Memorial Medical Services
    37 W Garden St, Auburn, NY 13021 · Cayuga CountyPhone(315) 567-0455

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Mark W. McSwain is affiliated with 7 sites of care and 3 medical groups

Dr. McSwain's primary practice is Auburn Memorial Medical Services in Auburn, New York. Dr. McSwain is also affiliated with Auburn Community Hospital. The medical group on file is Auburn Community Hospital. Dmand AI also links Dr. McSwain to 3 more group practices and clinics, 2 medical groups, 1 physician office and 1 home health agency, each named with a free account.

See all 10 affiliations for Dr. McSwain

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Mark W. McSwain's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. McSwain practices, 6 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Auburn Memorial Medical ServicesAvailable with a free account
+6 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Mark W. McSwain is one of 4,313 pediatricians in New York

Pediatrics is Dr. McSwain's primary specialty in the NPI Registry, under taxonomy code 208000000X. Dr. McSwain is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. McSwain's licenses on file in 3 states: New York, Massachusetts and North Carolina.

Specialties and state licenses

  • Pediatrics, New YorkPrimaryLicense 201382 · 1995 to 2026 · taxonomy 208000000X
  • Massachusetts license2000 to 2003
  • North Carolina license1998 to 2003

Clinical focus

Dmand AI lists acid reflux, acute sinusitis, acute skin infection, asthma, atrial fibrillation and flutter, benign or precancerous skin growths, bronchitis and bursitis among the conditions Dr. McSwain treats.

Pediatricians near Dr. McSwain

Counts of pediatricians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Mark W. McSwain billed Medicare for 1,313 services in 2024

CMS data shows 1,313 Medicare services from Dr. McSwain across 12 procedure codes in 2024, for 240 Medicare patients. Medicare paid $62,626 for them. Every service was in an office.

Medicare services, 20241,313
Medicare patients240
Paid by Medicare$62,626
Procedure codes12

Dr. McSwain's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 5002024: 498No change
Surgery
2023: 2952024: 35320%
Other services
2023: 1602024: 29786%
Tests and treatments
2023: 822024: 11945%
Lab and pathology
2023: 02024: 46

Dr. McSwain compared with the New York median for pediatricians, 2024

  • Dr. McSwain
  • New York median
Medicare services
1,313vs 6420.5 times
Medicare patients
240vs 376.5 times
Part D claims
5,224vs 14373.1 times

Medians across 641 pediatricians in New York with Dmand AI profiles that report each measure.

Dr. McSwain's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. McSwain

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Mark W. McSwain treated 240 Medicare patients in 2024, average age 72

CMS counts 240 Medicare patients who saw Dr. McSwain in 2024. The largest group is 65 to 74, with 117 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 10% are also on Medicaid. Their average risk score is 0.94, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. McSwain's median patient age at 36, with 48% women.

Medicare patients, 2024240
Average age72
Average risk score0.94
Also on Medicaid10%

Dr. McSwain's Medicare patients by age, 2024

Dr. McSwain's Medicare patients by sex, 2024

  • Women12251%
  • Men11849%

Chronic conditions among Dr. McSwain's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis33%
  4. Diabetes27%
  5. Anxiety19%
  6. Cancer18%
  7. Heart failure17%
  8. Ischemic heart disease17%

Share of Medicare patients with each condition. A patient can have several.

Dr. McSwain's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 36

Patient panel by sex, all payers

  • Women48%
  • Men51%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Mark W. McSwain wrote 5,800 Medicare Part D claims in 2024

In 2024, Dr. McSwain wrote 5,800 Medicare Part D claims for 479 patients. 83% of them were for generic drugs. CMS names the drug for 5,224 of them, across 116 drugs with 11 or more claims each, at $636,478 in total drug cost. In 2023, CMS named 16,095 claims across 120 drugs.

Part D claims, 20245,800
Drugs named by CMS116
Total drug cost$636,478
Part D patients479

Dr. McSwain's Part D claims by kind of drug, 2024

  • Generic4,821 claims83%
  • Brand-name958 claims17%
  • Other21 claims0%

Dr. McSwain's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. McSwain's Part D claims, 2024

  • Opioids2%90 of 5,800 claims
  • Antibiotics4%224 of 5,800 claims
  • Antipsychotics, patients 65 and over0%13 of 5,800 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 16,0952024: 5,22468%

Drugs named by CMS: 116 in 2024, 120 in 2023.

See all prescribing by Dr. McSwain

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Mark W. McSwain scored 76 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 76 out of 100 for Dr. McSwain for performance year 2024, reported as part of a group. Dr. McSwain accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. McSwain's MIPS scores, performance year 2024

  • 76of 100Final score
  • 48.9of 100Quality
  • 91of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 72of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)

Removal or shaving of skin growth: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Mark W. McSwain received $8,228 in industry payments from 2016 to 2025

CMS Open Payments shows 491 general payments to Dr. McSwain from 44 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 95% of the total. Pfizer Inc. paid the most, $1,256.

General payments to Dr. McSwain by program year, 2016 to 2025

General payments to Dr. McSwain by kind, 2016 to 2025

$8.2Kin total
  • Food and beverage$7,85295%
  • Consulting fees$3204%
  • Education$551%

Companies that paid Dr. McSwain the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. McSwain

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Mark W. McSwain has 1 award and honors on record

Dmand AI lists 1 award for Dr. McSwain, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. McSwain

  1. 2013
    • CMS Stage 1 EHR

Source: Dmand AI Professional Profile Data

Dr. Mark W. McSwain graduated from Duke University School Of Medicine

Dr. McSwain graduated from Duke University School Of Medicine in 1994.

  1. Medical schoolDuke University School Of Medicine
  2. Board certified in internal medicineAmerican Board of Internal Medicine
  3. Board certified in pediatricsAmerican Board of Pediatrics

Source: Dmand AI Professional Profile Data

Dr. Mark W. McSwain accepts plans from 16 insurance carriers

Dr. McSwain is in network with 16 carriers, including Aetna, Elevance and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • United Healthcare
  • Blue Cross Blue Shield of Michigan
  • HCSC
  • Aspirus Health Plan
  • Blue Cross Blue Shield of Massachusetts
  • Humana
  • +8 more carriersWith a free account

Plan types Dr. McSwain accepts, by number of carriers

  1. PPO10
  2. Medicare9
  3. HMO7
  4. POS5
  5. EPO4
  6. Medicaid2

Source: Dmand AI Insurance Network Data

Sources for Dr. Mark W. McSwain's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Mark W. McSwain

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Mark W. McSwain's NPI number?

Dr. Mark W. McSwain's NPI number is 1952394520. It was assigned on August 29, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Mark W. McSwain?

Dr. Mark W. McSwain is a pediatrician in Auburn, New York. The primary specialty in the NPI Registry is Pediatrics Physician (taxonomy code 208000000X).

Where does Dr. Mark W. McSwain practice?

Dr. McSwain practices at 37 W Garden St, Auburn, NY 13021. Dr. McSwain's primary practice is Auburn Memorial Medical Services in Auburn, New York. Dmand AI also links Dr. McSwain to 3 group practices and clinics, 2 medical groups, 1 physician office and 1 home health agency.

What is Dr. Mark W. McSwain's office phone number?

The practice phone on file for Dr. McSwain is (315) 567-0455.

What is Dr. Mark W. McSwain's medical license number?

Dr. McSwain holds New York license 201382, one of the licenses on file in 3 states.

Which states has Dr. Mark W. McSwain been licensed in?

Dmand AI has state licenses on file for Dr. McSwain in New York (1995 to 2026), Massachusetts (2000 to 2003) and North Carolina (1998 to 2003).

Which hospitals is Dr. Mark W. McSwain affiliated with?

Dr. McSwain is affiliated with Auburn Community Hospital.

What medical group is Dr. Mark W. McSwain part of?

Dr. McSwain is linked to Auburn Community Hospital. Dmand AI links Dr. McSwain to 2 more medical groups.

Does Dr. Mark W. McSwain accept Medicare?

Yes. CMS data shows Dr. McSwain billed Medicare for 1,313 services in 2024, and Dr. McSwain accepts Medicare assignment.

What is Dr. Mark W. McSwain's MIPS score?

Dr. McSwain's MIPS final score for performance year 2024 is 76 out of 100, reported as part of a group.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Mark W. McSwain see?

CMS counts 240 Medicare patients who saw Dr. McSwain in 2024, with an average age of 72.

Is Dr. Mark W. McSwain board certified?

Yes. Dr. McSwain is board certified in internal medicine by the American Board of Internal Medicine.

What services does Dr. Mark W. McSwain bill to Medicare?

In 2024, Dr. McSwain's most billed Medicare services were surgery: heart and blood vessels (36415), office visit, established patient (99214) and office visit, established patient (99213).

Where did Dr. Mark W. McSwain go to medical school?

Dr. McSwain graduated from Duke University School Of Medicine in 1994.

What drugs does Dr. Mark W. McSwain prescribe most?

In 2024 Medicare Part D data, Dr. McSwain's most prescribed drugs by claims were Atorvastatin Calcium, Levothyroxine Sodium and Amlodipine Besylate.

Has Dr. Mark W. McSwain received payments from drug or device companies?

CMS Open Payments shows $8,228 in general payments to Dr. McSwain from 44 companies from 2016 to 2025. The largest total came from Pfizer Inc.

How long has Dr. Mark W. McSwain been practicing?

Dr. McSwain graduated from medical school in 1994, 32 years ago.

What insurance does Dr. Mark W. McSwain accept?

Dr. McSwain is in network with 16 carriers, including Aetna, Elevance and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

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