2026 NPPES data Family Medicine Physician NPI 1710988118 MD
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Asha Swain, MD

Family Medicine Physician in Altoona, Pennsylvania. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 147,640 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.

Federal data — no proprietary rating. We show these CMS records as-is — no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
84
Medicare Part D claims · 26 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
62.1/100
▼ 21 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Asha Swain, MD reported a CMS MIPS final score of 62.1/100 — below the 83.1 national average — and filed 84 Medicare Part D claims in 2023.

62.1/100
MIPS score · -21 vs avg
84
Part D claims, 2023
87%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Asha Swain, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

62 6th percentile higher than 6% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Asha Swain, MD sits

This provider among family medicine physician peers

Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Asha Swain, MD writes more Part D claims than 5% of them and scores higher on MIPS quality than 8% — placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 92Asha Swain, MD — Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 8
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Asha Swain, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Asha Swain, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Asha Swain, MD?

Below national average

NPI registry status

Active

Issued 08/09/2005

NPI 1710988118

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

84 98% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

62.1/100 21 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Family Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Largest specialties in Pennsylvania (% of in-state providers)

Student in an Organized Health Care Education/Training Program — 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist — 5%Pharmacist5%Physical Therapist — 4.9%Physical Therapist4.9%Mental Health Counselor — 3.9%Mental Health Counselor3.9%Internal Medicine Physician — 3.3%Internal Medicine Physician3.3%Professional Counselor — 3.2%Professional Counselor3.2%Family Medicine Physician — 2.8%Family Medicine Physician2.8%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance — MIPS

Asha Swain, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
62.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 62.1/100 vs national avg 83.1

0%100%National avg83%62.1%
MIPS final score (Family Medicine Physician) — 62.1/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Asha Swain, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 1200 11TH ST, Altoona, PA, 16601, with a listed phone of (814) 943-8909. NPI 1710988118 was issued on 08/09/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Swain most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 84 prescription claims written by this provider, covering 26 Medicare beneficiaries and totaling roughly $70K in drug spend, split 13% brand-name and 87% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 62.1/100 for the 2023 performance year (Quality 72.4, Cost 84.7), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1200 11TH ST
Altoona, PA 16601

Provider Details

NPI 1710988118
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 08/09/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

62.1316
Final Score
Avg: 83.1
72.4397
Quality
84.6656
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Asha Swain, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Patient First Richmond Medical Group PLLC
Falls Church, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to Asha Swain, MD. To verify Asha Swain, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Asha Swain, MD — brand share 13.0%
Family Medicine Physician average

13% brand-name claims vs 87% generic, on 84 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

84
Total Claims
$70K
Total Drug Cost
26
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
136
Total Day Supply
3,184
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$69K
Generic Drug Cost
$1K
Antibiotic Claims
25

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
1.08

Family Medicine Physician Overview

How Asha Swain, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Asha Swain, MD's 84 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Swain.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Pennsylvania medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Asha Swain, MD's specialty?
Asha Swain, MD specializes in Family Medicine Physician and practices in Altoona, Pennsylvania. Credentials: MD.
How much does Asha Swain, MD prescribe under Medicare Part D?
In 2023, Asha Swain, MD wrote 84 Medicare Part D claims totaling $70K in drug costs for 26 beneficiaries.
What is Asha Swain, MD's Medicare quality score?
Asha Swain, MD has a CMS MIPS Final Score of 62.1/100 (Quality: 72.4, Cost: 84.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Asha Swain, MD located?
Asha Swain, MD is located at 1200 11TH ST, Altoona, PA, 16601. Phone: (814) 943-8909.
What is Asha Swain, MD's NPI number?
Asha Swain, MD's National Provider Identifier (NPI) is 1710988118, issued on 08/09/2005.
Does Asha Swain, MD prescribe more brand-name or generic drugs?
Asha Swain, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $69K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
Does Asha Swain, MD accept Medicare?
Asha Swain, MD appears in CMS Medicare data with 84 Part D claims and 26 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Asha Swain, MD's credentials?
Asha Swain, MD's NPI is 1710988118 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.