Individual provider Active NPI

Forrest Beau Swann, MD

  • Cornea and External Diseases Specialist Physician
  • Waco, TX
National Provider Identifier
1407291420
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
R5656 Issued in TX
Practice address
201 Londonderry Dr
Waco, TX 76712-7931
Phone
(254) 772-4499
Fax
(254) 772-4436
NPI assigned
May 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME130916 FL
Cornea and External Diseases Specialist Physician 207WX0120X R5656 TX Primary

Addresses

Primary practice location

201 Londonderry Dr
Waco, TX 76712-7931

Mailing address

201 Londonderry Dr
Waco, TX 76712-7931
Phone (254) 772-4499

Other identifiers 1

IdentifierTypeStateIssuer
020669700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180503000124 TX Practitioner - Ophthalmology 0345479911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell E Swann M.D. PAGroup PAC ID 8729025424, 2 clinicians

Practice addresses (Care Compare)

201 Londonderry Dr
Waco, TX 76712-7931
Phone (254) 772-4499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.73 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Russell E Swann M.D. PA Single Specialty CurrentSince Jun 1, 2018 Accepting new patients
The Eye Physicians of Pinellas, PA Past Accepting new patients

Locations

201 Londonderry Dr
#O
Waco, TX 76712
Phone (254) 772-4499

201 Londonderry Dr
Waco, TX 76712
Phone (254) 772-4499

Interoperability endpoints

  • Direct secure messaging: fswann@directaddress.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1407291420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LONDONDERRY DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127931",
            "telephone_number": "254-772-4499",
            "fax_number": "254-772-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LONDONDERRY DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127931",
            "telephone_number": "254-772-4499",
            "fax_number": "254-772-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANN",
        "first_name": "FORREST",
        "middle_name": "BEAU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-03",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME130916",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TX",
            "license": "R5656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020669700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.