Individual provider Active NPI

Jason Bryce Swalm, D.O.

  • Family Medicine Physician
  • Martinsburg, WV
National Provider Identifier
1962745950
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2952 Issued in WV
Practice address
430 Ceritos TRL
Martinsburg, WV 25403-0400
Phone
(304) 267-6249
Fax
(304) 267-6248
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2952 WV
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2952 WV Primary

Addresses

Primary practice location

430 Ceritos TRL
Martinsburg, WV 25403-0400

Mailing address

2500 Foundation Way
Martinsburg, WV 25401-9000
Phone (304) 264-9202

Other identifiers 1

IdentifierTypeStateIssuer
1962745950MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jswalm18828@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20160805000263 WV Practitioner - Family Practice 6800198516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
Jefferson Urgent Care, LLC CurrentSince Apr 16, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

912 Somerset Blvd
Ste 101
Charles Town, WV 25414
Phone (304) 724-2663

912 Somerset Blvd
Ste 102
Charles Town, WV 25414
Phone (304) 725-2273

84 Somerset Blvd
Charles Town, WV 25414
Phone (304) 728-8533

5047 Gerrardstown Rd
Ste 2B
Inwood, WV 25428
Phone (304) 821-1444

5047 Gerrardstown Rd
Ste 2A
Inwood, WV 25428
Phone (304) 229-2273

430 Ceritos Trl
Martinsburg, WV 25403
Phone (304) 267-6249

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1962745950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FOUNDATION WAY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019000",
            "telephone_number": "304-264-9202",
            "fax_number": "304-264-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 CERITOS TRL",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254030400",
            "telephone_number": "304-267-6249",
            "fax_number": "304-267-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWALM",
        "first_name": "JASON",
        "middle_name": "BRYCE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "2952",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962745950",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jswalm18828@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Ceritos Trl",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254030300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.