NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1942644604 M.D.
Verify on CMS → John Swanson, M.D.
Surgery Physician in Pittsburgh, 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 36,778 in Surgery 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
32
Medicare Part D claims · 21 beneficiaries · Surgery Physician avg: 174
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
John Swanson, M.D. filed 32 Medicare Part D claims in 2024 as a Surgery Physician in Pittsburgh, Pennsylvania.
- 32
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about John Swanson, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1942644604), first enumerated 04/24/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 32 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not John Swanson, M.D.'s individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1942644604 · Surgery Physician
NPI-10 · ENUM-MID · TAX-MID · RX-TRACE · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1942644604
- ENUM-MID 2013
- TAX-MID 37K Surgery Physician
- RX-TRACE 32
- BOOK-LIGHT 2,026 in Pennsylvania
- PHOTO-ENUM Vincent Cappelluzzo · 2013
John Swanson, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
32 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
John Swanson, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 John Swanson, M.D.?
Quality data not reportedPrimary specialty
Surgery Physician
Medicare Part D claims
32 82% vs specialty avg
Specialty distribution in Pennsylvania
How Surgery Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Surgery Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1942644604 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/24/2013 |
Hospital and facility affiliations
Facilities where John Swanson, M.D. 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.
Permanente Medical Group Inc
Santa Clara, CA
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 John Swanson, M.D.. To verify John Swanson, M.D.'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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
32
Total Claims
$200
Total Drug Cost
21
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 32
- Total Day Supply
- 98
- Brand Drug Cost
- $0
- Generic Drug Cost
- $200
- Antibiotic Claims
- 27
Patient Demographics
- Average Patient Age
- 71.1 years
- Avg HCC Risk Score
- 1.67
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Amoxicillin | 20 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How John Swanson, M.D. fits within the Surgery Physician landscape nationally.
36,778
Surgery Physician Providers in US
56
States with Surgery Physician
174
Avg Claims per Provider
John Swanson, M.D.'s 32 claims are below the specialty average of 174.
Nationwide Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Swanson, both outside Pennsylvania so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Surgery Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Swanson.
One of 2,026 Surgery Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Darius Abadi
D.O.
Wellsboro, PA
Dr. Babak Abai
MD
Philadelphia, PA
Dr. Ariel Aballay
MD
Pittsburgh, PA
Philip Abbosh
MDPHD
Philadelphia, PA
Dr. Michael Abboud
M.D.
Reading, PA
Compare Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is John Swanson, M.D.'s specialty? ▼
John Swanson, M.D. specializes in Surgery Physician and practices in Pittsburgh, Pennsylvania. Credentials: M.D..
How much does John Swanson, M.D. prescribe under Medicare Part D? ▼
In 2024, John Swanson, M.D. wrote 32 Medicare Part D claims totaling $200 in drug costs for 21 beneficiaries.
Where is John Swanson, M.D. located? ▼
John Swanson, M.D. is located at 5115 CENTRE AVE, Pittsburgh, PA, 15232. Phone: (412) 648-6359.
What is John Swanson, M.D.'s NPI number? ▼
John Swanson, M.D.'s National Provider Identifier (NPI) is 1942644604, issued on 04/24/2013.
How many Surgery Physician providers are there in the US? ▼
There are 36,778 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 174 Medicare Part D claims per year.
What drugs does John Swanson, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, John Swanson, M.D.'s most frequently prescribed drugs include Amoxicillin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Swanson, M.D. accept Medicare? ▼
John Swanson, M.D. appears in CMS Medicare data with 32 Part D claims and 21 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Swanson, M.D.'s credentials? ▼
John Swanson, M.D.'s NPI is 1942644604 with credentials M.D.. 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
View source datasets and methodology notes
- 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.