NPI registry status
Active
2026 NPPES data Pain Medicine Physician NPI 1194220236 PA-C
Verify on CMS → William Swafford, PA-C
Pain Medicine Physician in Crossville, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 951 in Pain 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
426
Medicare Part D claims · 157 beneficiaries · Pain Medicine Physician avg: 2K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
William Swafford, PA-C filed 426 Medicare Part D claims in 2023 as a Pain Medicine Physician in Crossville, Tennessee, prescribing 96% generic.
- 426
- Part D claims, 2023
- 96%
- 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.
William Swafford, PA-C's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
426 Top 38% higher than 62% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
William Swafford, PA-C 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 William Swafford, PA-C?
Quality data not reportedPrimary specialty
Pain Medicine Physician
Medicare Part D claims
426 79% vs specialty avg
Specialty distribution in Tennessee
How Pain Medicine Physician compares to other specialties among Tennessee 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 Pain Medicine 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).
William Swafford, PA-C appears in the CMS NPPES registry as a Pain Medicine Physician provider holding PA-C credentials at 181 MATHERLY ST, Crossville, TN, 38555, with a listed phone of (931) 484-2727. NPI 1194220236 was issued on 03/29/2018.
Medicare Part D records for calendar year 2023 show 426 prescription claims written by this provider, covering 157 Medicare beneficiaries and totaling roughly $9K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 9.2%.
Pain Medicine Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 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
Provider Details
| NPI | 1194220236 |
|---|---|
| Specialty | Pain Medicine Physician |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 03/29/2018 |
Hospital and facility affiliations
Facilities where William Swafford, PA-C 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.
Saint Thomas Medical Partners
Crossville, TN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
William Swafford, PA-C - brand share 4.0%
Pain Medicine Physician average
4% brand-name claims vs 96% generic, on 426 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.
426
Total Claims
$9K
Total Drug Cost
157
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 625
- Total Day Supply
- 14,303
- Brand vs Generic
- 4% brand / 96% generic
- Brand Drug Cost
- $3K
- Generic Drug Cost
- $6K
- Opioid Claims
- 39 (9.2% rate)
- Antibiotic Claims
- 53
Patient Demographics
- Average Patient Age
- 68.0 years
- Avg HCC Risk Score
- 1.26
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 44, 65-74: 70, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What William Swafford, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pantoprazole Sodium
Pantoprazole Sodium
91 claims
- Sucralfate
Sucralfate
81 claims
- Omeprazole
Omeprazole
75 claims
- Hydrocodone-Acetam… 35
Hydrocodone-Acetaminophen
35 claims
- Sulfamethoxazole-T… 23
Sulfamethoxazole-Trimethoprim
23 claims
- Famotidine 11
Famotidine
11 claims
- Ondansetron Odt 11
Ondansetron Odt
11 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 91 |
| Sucralfate | 81 |
| Omeprazole | 75 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 35 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 23 |
| Famotidine | 11 |
| Ondansetron Odt Ondansetron | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pain Medicine Physician Overview
How William Swafford, PA-C fits within the Pain Medicine Physician landscape nationally.
951
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider
William Swafford, PA-C's 426 claims are below the specialty average of 2,078.
Nearby Pain Medicine Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Swafford.
Dr. Gregory Ball
MD
Chattanooga, TN
Dr. Phillip Beaulieu
M.D.
Nashville, TN
Dr. Michael Bowman
DO
Murfreesboro, TN
Dr. Jeffrey Brown
DO
Memphis, TN
Dr. Britney Burleson
FNP-C
Johnson City, TN
Compare Pain 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 Tennessee medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain 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.
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Frequently Asked Questions
What is William Swafford, PA-C's specialty? ▼
William Swafford, PA-C specializes in Pain Medicine Physician and practices in Crossville, Tennessee. Credentials: PA-C.
How much does William Swafford, PA-C prescribe under Medicare Part D? ▼
In 2023, William Swafford, PA-C wrote 426 Medicare Part D claims totaling $9K in drug costs for 157 beneficiaries.
Where is William Swafford, PA-C located? ▼
William Swafford, PA-C is located at 181 MATHERLY ST, Crossville, TN, 38555. Phone: (931) 484-2727.
What is William Swafford, PA-C's NPI number? ▼
William Swafford, PA-C's National Provider Identifier (NPI) is 1194220236, issued on 03/29/2018.
Does William Swafford, PA-C prescribe more brand-name or generic drugs? ▼
William Swafford, PA-C's prescribing is 4% brand-name and 96% generic drugs by claim count, with $3K in brand drug costs.
Does William Swafford, PA-C prescribe opioids? ▼
Yes, William Swafford, PA-C had 39 opioid claims in 2023 with an opioid prescribing rate of 9.2%.
How many Pain Medicine Physician providers are there in the US? ▼
There are 951 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does William Swafford, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, William Swafford, PA-C's most frequently prescribed drugs include Pantoprazole Sodium, Sucralfate, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does William Swafford, PA-C accept Medicare? ▼
William Swafford, PA-C appears in CMS Medicare data with 426 Part D claims and 157 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify William Swafford, PA-C's credentials? ▼
William Swafford, PA-C's NPI is 1194220236 with credentials PA-C. 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 (2023). 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 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.