Dr. Mark W. McSwain, MD
- 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
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Auburn Memorial Medical Services
Auburn, New York
Find Dr. McSwain's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
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
- 1952394520NPI Registry (opens in a new tab)
- 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
- Get email
- Mobile number
- Get number
- 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 Services37 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.
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.
| Site | EHR vendor and product |
|---|---|
| Auburn Memorial Medical Services | Available with a free account |
| +6 more sites and 2 medical groups | Available 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 YorkPrimary
- Massachusetts license
- North Carolina license
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.
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.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. McSwain and other pediatricians in New York.
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.
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
- High blood pressure75%
- High cholesterol75%
- Arthritis33%
- Diabetes27%
- Anxiety19%
- Cancer18%
- Heart failure17%
- 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.
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.
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
- 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.
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
- 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.
- Medical school
- Board certified in internal medicine
- Board certified in 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
- PPO10
- Medicare9
- HMO7
- POS5
- EPO4
- Medicaid2
Source: Dmand AI Insurance Network Data
Sources for Dr. Mark W. McSwain's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors 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 payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand 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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