Individual provider Active NPI

Samuel D Swisher-McClure, MD

  • Radiation Oncology Physician
  • Rehoboth Beach, DE
National Provider Identifier
1669675880
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
C1-0024207 Issued in DE
Practice address
18947 John J Williams Hwy Unit 101
Rehoboth Beach, DE 19971-4480
Phone
(302) 645-3775
Fax
(302) 645-3774
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MT191012 PA
Radiation Oncology Physician 2085R0001X MD445317 PA
Student in an Organized Health Care Education/Training Program 390200000X MT191012 PA
Radiation Oncology Physician 2085R0001X C1-0024207 DE Primary

Addresses

Primary practice location

18947 John J Williams Hwy Unit 101
Rehoboth Beach, DE 19971-4480

Mailing address

PO Box 497
Lewes, DE 19958-0497
Phone (302) 645-3775

Other names 1

  • Samuel Dylan Swisher-McClure Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20210616002121 DE Practitioner - Radiation Oncology 8022272491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delmarva Radiation Services, PAGroup PAC ID 6507801750, 3 clinicians

Practice addresses (Care Compare)

18947 John J Williams Hwy
Unit 101
Rehoboth Beach, DE 19971-4480
Phone (302) 645-3775

Hospital & facility affiliations

  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score
51.74 of 100Reported as individual
Quality
74.19
Improvement activities
0
Cost
73.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0024207DEMDRadiation Oncology Physician
MD445317PAMDRadiation Oncology Physician
MT191012PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delmarva Radiation Services, PA Radiation Oncology CurrentSince Jun 10, 2021 Accepting new patients
DRS. Strauss, Costleigh & Associates PA PastSince Jun 15, 2021 Accepting new patients

Locations

18947 John J Williams Hwy
Unit 101
Rehoboth Beach, DE 19971
Phone (302) 645-3770

Interoperability endpoints

  • Direct secure messaging: sswishermcclure22792@beebehealth.direct-ci.com

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 4

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1669675880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199580497",
            "telephone_number": "302-645-3775",
            "fax_number": "302-645-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 101",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714480",
            "telephone_number": "302-645-3775",
            "fax_number": "302-645-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWISHER-MCCLURE",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MT191012",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD445317",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT191012",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "DE",
            "license": "C1-0024207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMUEL",
            "last_name": "SWISHER-MCCLURE",
            "middle_name": "DYLAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rehoboth Beach, DE

Sources for this page

Verify at the official NPI Registry.