NPI registry status
Active
2026 NPPES data Neuromusculoskeletal Medicine & OMM Physician NPI 1417927120 D.O.
Verify on CMS → Matthew Swain, D.O.
Neuromusculoskeletal Medicine & OMM Physician in Ukiah, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,232 in Neuromusculoskeletal Medicine & OMM 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
305
Medicare Part D claims · 83 beneficiaries · Neuromusculoskeletal Medicine & OMM Physician avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
65.5/100
▼ 18 pts below national avg 83.5 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Matthew Swain, D.O. reported a CMS MIPS final score of 65.5/100 - below the 83.5 national average - and filed 305 Medicare Part D claims in 2024.
- 65.5/100
- MIPS score · -18 vs avg
- 305
- Part D claims, 2024
- 83%
- 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.
Federal trust snapshot
What official records show about Matthew Swain, D.O.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1417927120), first enumerated 01/25/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 305 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 65.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- 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
California statewide board action statistics are published annually — these figures describe aggregate state activity, not Matthew Swain, D.O.'s individual license status. Verify directly with the state medical board.
Source: MBC 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 1417927120 · Neuromusculoskeletal Medicine & OMM Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-LOW · RX-LIGHT · BOOK-THIN · NEAR-MIPS
- NPI-10 1417927120
- ENUM-LEGACY 2006
- TAX-NARROW 1,232
- MIPS-LOW 65.5/100
- RX-LIGHT 305
- BOOK-THIN 234 in California
- NEAR-MIPS Joseph Moreira, MD · 6.4
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Joseph Moreira, …
Joseph Moreira, MD
59.1 MIPS pts
- Swain · this pro…
Swain · this provider
65.5 MIPS pts
- Philip Miller, D…
Philip Miller, D.O.
72.6 MIPS pts
- Janell Largent, …
Janell Largent, D.O.
73.9 MIPS pts
- Alejandro Betanc…
Alejandro Betancourt, MD
75 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Matthew Swain, D.O.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
66 ≥ 7th percentile 7% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Matthew Swain, D.O. sits
This provider among neuromusculoskeletal medicine & omm physician peers
Across the 90 neuromusculoskeletal medicine & omm physician providers who report both Medicare Part D prescribing and a MIPS quality score, Matthew Swain, D.O. writes more Part D claims than 40% of them and scores higher on MIPS quality than 10% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one neuromusculoskeletal medicine & omm physician peer from a representative sample of 60; the gold marker is Matthew Swain, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Matthew Swain, D.O. 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 Matthew Swain, D.O.?
Below national averagePrimary specialty
Neuromusculoskeletal Medicine & OMM Physician
Medicare Part D claims
305 73% vs specialty avg
MIPS final score
65.5/100 18 pts vs avg
Specialty distribution in California
How Neuromusculoskeletal Medicine & OMM Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Matthew Swain, D.O.'s 2023 MIPS final score plotted against the Neuromusculoskeletal Medicine & OMM Physician national average
- MIPS Final Score
- 65.5/100
- vs 83.5 national avg · 2023 performance year
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 | 1417927120 |
|---|---|
| Specialty | Neuromusculoskeletal Medicine & OMM Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 01/25/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
65.4504
Final Score
Measured-score avg: 83.5
74.8346
Quality
10
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Matthew Swain, D.O. 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.
Ukiah Adventist Hospital
Ukiah, 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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Matthew Swain, D.O.. To verify Matthew Swain, D.O.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Matthew Swain, D.O. - brand share 17.0%
Neuromusculoskeletal Medicine & OMM Physician average
17% brand-name claims vs 83% generic, on 305 2024 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 2024.
305
Total Claims
$58K
Total Drug Cost
83
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 505.8
- Total Day Supply
- 14,566
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $52K
- Generic Drug Cost
- $6K
Patient Demographics
- Average Patient Age
- 71.8 years
- Avg HCC Risk Score
- 1.39
- Gender Split
- 42% female / 58% male
- Age Distribution
- <65: 18, 65-74: 30, 75-84: 24, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Matthew Swain, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Albuterol Sulfate …
Albuterol Sulfate Hfa
20 claims
- Levothyroxine Sodium
Levothyroxine Sodium
20 claims
- Pantoprazole Sodium
Pantoprazole Sodium
15 claims
- Trazodone Hcl
Trazodone Hcl
12 claims
- Atorvastatin Calcium
Atorvastatin Calcium
11 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 20 |
| Levothyroxine Sodium | 20 |
| Pantoprazole Sodium | 15 |
| Trazodone Hcl | 12 |
| Atorvastatin Calcium | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Neuromusculoskeletal Medicine & OMM Physician in CA →
All providers in California →
Compare specialties →
Neuromusculoskeletal Medicine & OMM Physician Overview
How Matthew Swain, D.O. fits within the Neuromusculoskeletal Medicine & OMM Physician landscape nationally.
1,232
Neuromusculoskeletal Medicine & OMM Physician Providers in US
51
States with Neuromusculoskeletal Medicine & OMM Physician
1,149
Avg Claims per Provider
Matthew Swain, D.O.'s 305 claims are below the specialty average of 1,149.
Nationwide Neuromusculoskeletal Medicine & OMM Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Swain, both outside California so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (65.5 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Neuromusculoskeletal Medicine & OMM Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Swain.
One of 234 Neuromusculoskeletal Medicine & OMM Physician providers enrolled in California, 5 are shown here.
Dr. Joseph Abouzeid
MD
Panorama City, CA
Dr. Suzanne Ackley
MD
Anaheim, CA
Dr. Christopher Ake
D.O.
Rancho Dominguez, CA
Dr. Lawrence Albinski
MD
Fontana, CA
Dr. Joshua Alexander
D.O.
San Diego, CA
Compare Neuromusculoskeletal Medicine & OMM Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Matthew Swain, D.O.'s specialty? ▼
Matthew Swain, D.O. specializes in Neuromusculoskeletal Medicine & OMM Physician and practices in Ukiah, California. Credentials: D.O..
How much does Matthew Swain, D.O. prescribe under Medicare Part D? ▼
In 2024, Matthew Swain, D.O. wrote 305 Medicare Part D claims totaling $58K in drug costs for 83 beneficiaries.
What is Matthew Swain, D.O.'s Medicare quality score? ▼
Matthew Swain, D.O. has a CMS MIPS Final Score of 65.5/100 (Quality: 74.8, Cost: 10). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Matthew Swain, D.O. located? ▼
Matthew Swain, D.O. is located at 260 HOSPITAL DR STE 103, Ukiah, CA, 95482. Phone: (707) 467-3123.
What is Matthew Swain, D.O.'s NPI number? ▼
Matthew Swain, D.O.'s National Provider Identifier (NPI) is 1417927120, issued on 01/25/2006.
Does Matthew Swain, D.O. prescribe more brand-name or generic drugs? ▼
Matthew Swain, D.O.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $52K in brand drug costs.
How many Neuromusculoskeletal Medicine & OMM Physician providers are there in the US? ▼
There are 1,232 Neuromusculoskeletal Medicine & OMM Physician providers across 51 states in the US. The average Neuromusculoskeletal Medicine & OMM Physician provider writes 1,149 Medicare Part D claims per year.
What drugs does Matthew Swain, D.O. prescribe most often? ▼
Based on 2024 Medicare Part D data, Matthew Swain, D.O.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Levothyroxine Sodium, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Matthew Swain, D.O. accept Medicare? ▼
Matthew Swain, D.O. appears in CMS Medicare data with 305 Part D claims and 83 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Matthew Swain, D.O.'s credentials? ▼
Matthew Swain, D.O.'s NPI is 1417927120 with credentials D.O.. 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.
- 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 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.