Mark J. Swofford, DO
Urology Physician · Pikeville, KY
Mark J. Swofford, DO is a urology physician with a practice address in Pikeville, Kentucky, and NPI 1245238484, issued on Jul 12, 2005. Check the license (Kentucky 02625, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Mark J. Swofford
- Credential
- DO
- Primary taxonomy
- Urology Physician 208800000X
- License number
- 02625 KY
Self-reported in NPPES; status is on the state search - Practice location
- 911 Bypass RD Bldg A, Pikeville, KY 41501
- Phone
- (606) 430-2202
- Enumerated
- Jul 12, 2005
- Record last updated
- Jun 7, 2022
- Fax
- (606) 218-7502
- Medicaid ID
- 65935009 KY
- Medicare enrollment
- Enrolled (PECOS I20110212000083); accepts Medicare assignment
- Medical or professional school
- At Still University Of Health Sciences, College Of Osteo Med, Kirksville, 1990
- Entity
- Type 1 · individual
8 nearest urology physician records → All 168 in Kentucky → Look up another NPI →
Also registered at 911 Bypass RD Bldg A
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Cynthia Acosta, NPFamily Nurse Practitioner1124530878
- Alaa Addasi, MDVascular Surgery Physician1154531416
- Melody Addasi, APRNFamily Nurse Practitioner1396120879
- Moses Adebayo, MDOrthopaedic Surgery Physician1568995413
- Nathaniel Adkins, MDSurgical Critical Care Physician1124256565
- Naveed Ahmed, M.DNeurology Physician1508946070
Verify Mark J. Swofford in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 02625Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.9 times the Medicare Part D claims of the average urology physician in 2024
3,915 Medicare Part D claims for 685 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. 25 claims were for opioids.
Most prescribed
- Tamsulosin Hcl1,169 claims
- Finasteride870 claims
- Testosterone Cypionate534 claims
- Dutasteride195 claims
- Alfuzosin Hcl Er193 claims
- Oxybutynin Chloride135 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 86.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $964.36
43 payments; by number, the most common kind was food and beverage; the largest payer was Procept BioRobotics Corporation. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Pikeville Medical Center IncPikeville, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark J. Swofford among 168 urology physician records in Kentucky
Mark J. Swofford, DO is one of 168 urology physician records with a practice address in Kentucky. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 74% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated1990 · median 2005 among the 105 with a school on file
- Record last updated2022 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Urology Physician providers in Kentucky
There are 168 urology physician records in Kentucky.
All 168 in Kentucky → Every provider in Pikeville → Urology Physician nationwide →
The 8 urology physician records with the nearest ZIP codes
- Luke Edwards, MDPikeville, KY 415011922361294
- Dustin Gayheart, M.D.Pikeville, KY 415011063730372
- Jasgurpreet Singh, MDPikeville, KY 415011619587169
- Hany Oghia, MDHazard, KY 417011528067733
- Timothy Yoost, M.D.Louisa, KY 412301245328012
- Jeremy Bonzo, M.D.Ashland, KY 411011447511332
- William Boykin, M.D.Ashland, KY 411011922077460
- Brian Defade, D.O.Ashland, KY 411011679764534
Common questions
What is Mark J. Swofford, DO's NPI number?
Mark J. Swofford, DO's National Provider Identifier (NPI) is 1245238484, issued on Jul 12, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Mark J. Swofford, DO located?
The NPPES record lists a practice address at 911 Bypass RD Bldg A, Pikeville, KY, 41501. Phone: (606) 430-2202. Providers update this record themselves, so call before visiting.
How can I verify Mark J. Swofford, DO's license?
NPPES lists Kentucky license number 02625, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Mark J. Swofford, DO prescribe under Medicare Part D?
In 2024, Mark J. Swofford, DO had 3,915 Medicare Part D claims for 685 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.
What is Mark J. Swofford, DO's MIPS final score?
The 2023 MIPS final score is 86.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.