Individual provider Active NPI

Michael H Swann, MD

  • MOHS-Micrographic Surgery Physician
  • Springfield, MO
National Provider Identifier
1972607158
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
2007005538 Issued in MO
Practice address
3850 S National Ave
Suite 705
Springfield, MO 65807-5287
Phone
(417) 888-0858
Fax
(417) 889-0476
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 2007005538 MO Primary
Dermatology Physician 207N00000X 2003014484 MO
Procedural Dermatology Physician 207NS0135X 2007005538 MO

Addresses

Primary practice location

3850 S National Ave
Suite 705
Springfield, MO 65807-5287

Mailing address

3850 S National Ave
Suite 705
Springfield, MO 65807-5287
Phone (417) 888-0858

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drswann@swann.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080703000044 MO Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 5890875744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
University of Oklahoma College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians
Mike Swann, MD, LLCGroup PAC ID 0941346068, 10 clinicians

Practice addresses (Care Compare)

109 Pinehurst Dr
Branson, MO 65616-2796
Phone (417) 888-0858

1223 Maple St
Farmington, MO 63640-7616
Phone (573) 760-0091

1240 E Independence St
Springfield, MO 65804-4201
Phone (417) 900-3407

2200 E Cleveland St
Monett, MO 65708-6149
Phone (417) 900-3407

331 Hospital Dr
Suite C
Lebanon, MO 65536-9251
Phone (417) 334-7200

3850 S National Ave
Suite 705
Springfield, MO 65807-5239
Phone (417) 888-0858

590 Birch Rd
Suite 2C
Hollister, MO 65672-9607
Phone (417) 815-6737

Merit-based Incentive Payment System (MIPS)

Final score
92.06 of 100Reported as individual
Quality
85
Promoting interoperability
100
Improvement activities
40
Cost
88.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision349
Removal of tissue1-10
Removal of skin lesions1774
Removal of skin cancer870
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy789

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003014484MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mike Swann, MD, LLC Procedural Dermatology CurrentSince Aug 9, 2009 Accepting new patients
Ozarks Dermatology Specialists, LLC Dermatology PastSince May 1, 2011 Accepting new patients

Locations

590 Birch Rd
Ste 2C
Hollister, MO 65672
Phone (417) 335-7337

331 Hospital Dr
Ste C
Lebanon, MO 65536
Phone (417) 334-7200

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

1240 E Independence St
Springfield, MO 65804
Phone (417) 888-0858

1240 E Independence St
Ste 200
Springfield, MO 65804
Phone (417) 900-3407

1240 E Independence St
Ste 100
Springfield, MO 65804
Phone (417) 863-7100

3850 S National Ave
Ste 705
Springfield, MO 65807
Phone (417) 888-0858

3808 S Greystone Ct
Springfield, MO 65804
Phone (417) 889-3332

Interoperability endpoints

  • Direct secure messaging: drswann@swann.emadirect.md

Organizations & group practices 3

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1972607158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 S NATIONAL AVE",
            "address_2": "SUITE 705",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075287",
            "telephone_number": "417-888-0858",
            "fax_number": "417-889-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 S NATIONAL AVE",
            "address_2": "SUITE 705",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075287",
            "telephone_number": "417-888-0858",
            "fax_number": "417-889-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANN",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MO",
            "license": "2007005538",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2003014484",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MO",
            "license": "2007005538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drswann@swann.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3850 S National Ave",
            "address_2": "Suite 705",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658075287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.