Randall Alan Swain, MD
Family Medicine Physician · Charleston, WV
Randall Alan Swain, MD is a family medicine physician with a practice address in Charleston, West Virginia, and NPI 1255395273, issued on Apr 14, 2006. Check the license (West Virginia 16120, as entered in NPPES) on the West Virginia Board of Medicine; the Medicare figures below come from public CMS files.
- Name
- Randall Alan Swain
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 16120 WV
Self-reported in NPPES; status is on the state search - Practice location
- 4602 Maccorkle Ave SE, Charleston, WV 25304
- Phone
- (304) 925-4777
- Enumerated
- Apr 14, 2006
- Record last updated
- Jan 30, 2026
- Fax
- (304) 925-4780
- Medicaid IDs
- 0042952-000 WV
0042952000 WV - Medicare enrollment
- Enrolled (PECOS I20031230000073); accepts Medicare assignment
- Medical or professional school
- West Virginia University School Of Medicine, 1987
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 1,122 in West Virginia → Look up another NPI →
Also registered at 4602 Maccorkle Ave SE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Karen Bailey, PA-CPhysician Assistant1285988808
- Amanda Borror, DOAddiction Medicine (Family Medicine) Physician1518278118
- Grace Falbo, D.O.Family Medicine Physician1679865687
- Brandi Ferrell, FNP-BCFamily Medicine Physician1528842648
- Shannon Grose, NPFamily Nurse Practitioner1629552799
- Parrish Harless, APRN, FNP-BCFamily Nurse Practitioner1265780340
Verify Randall Alan Swain in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWest Virginia Board of Medicine
Search for license 16120Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
60% fewer Medicare Part D claims than the average family medicine physician in 2024
1,411 Medicare Part D claims for 345 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 32 claims were for opioids.
Most prescribed
- Meloxicam91 claims
- Fluticasone Propionate72 claims
- Gabapentin48 claims
- Levothyroxine Sodium39 claims
- Atorvastatin Calcium34 claims
- Methylprednisolone32 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 MIPS final score for 2023 (Medicare payment program): 90.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $527.78
18 payments; by number, the most common kind was food and beverage; the largest payer was Genzyme Corporation. The 55,478 providers of this specialty with any payment received $902.55 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 2 group practices
- Charleston Area Medical Center IncCharleston, WV
- Womencare IncCharleston, WV
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Randall Alan Swain among 1,122 family medicine physician records in West Virginia
Randall Alan Swain, MD is one of 1,122 family medicine physician records with a practice address in West Virginia. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 14% of them.
- NPI issued2006 · 14% of these records are older, 49% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated1987 · median 2006 among the 702 with a school on file
- Record last updated2026 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a West Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
71 family medicine physician records list a practice address in Charleston
They are 71 of the 8,807 NPPES records with a practice address in Charleston, and 1,122 family medicine physician records in West Virginia.
All 1,122 in West Virginia → Every provider in Charleston → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Jeffrey Ashley, M.D.Charleston, WV 253041013019280
- Kathleen Bors, M.D.Charleston, WV 253041063594307
- Samuel Carroll, MDCharleston, WV 253041700837473
- Nancy Elwood, MDCharleston, WV 253041316928344
- Jenifer Hadley, D.O.Charleston, WV 253041528038668
- Sandra Lewis, M.D.Charleston, WV 253041841381035
- Mely Lim, MDCharleston, WV 253041083610349
- Robert Linger, MDCharleston, WV 253041184653727
Common questions
What is Randall Alan Swain, MD's NPI number?
Randall Alan Swain, MD's National Provider Identifier (NPI) is 1255395273, issued on Apr 14, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Randall Alan Swain, MD located?
The NPPES record lists a practice address at 4602 Maccorkle Ave SE, Charleston, WV, 25304. Phone: (304) 925-4777. Providers update this record themselves, so call before visiting.
How can I verify Randall Alan Swain, MD's license?
NPPES lists West Virginia license number 16120, as entered by the provider. Search the West Virginia Board of Medicine at https://wvbom.wv.gov/public/search/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Randall Alan Swain, MD prescribe under Medicare Part D?
In 2024, Randall Alan Swain, MD had 1,411 Medicare Part D claims for 345 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Randall Alan Swain, MD's MIPS final score?
The 2023 MIPS final score is 90.1 of 100. 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.