Doctor profile · Federal record
Dr. Mark Swofford, DO
Urology Physician (CMS: Urology) · Pikeville, KY
- NPI 1245238484
- Accepts Medicare
- MIPS 82.9 / 100 · 2023
- 36 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
911 Bypass RD Bldg A
Pikeville, KY 415011689
(606) 430-2202
fax (606) 218-7502 - Mailing address
-
Po Box 432
Pikeville, KY 415020432
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- June 7, 2022
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 208800000X — NUCC code
- State license (1)
- Kentucky #02625
- Medicaid
- KY #65935009
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1245238484. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
590
Distinct HCPCS
4
Medicare allowed
$39,455
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 426 | 320 | $63 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 101 | 101 | $78 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 36 | 36 | $80 | |
52000 |
Diagnostic exam of bladder and urethra using an endoscope | 27 | 25 | $77 |
In context: peer comparison
Among 2 peers in Pikeville Urology Physician, average services per provider: 95. This provider delivers 6.2× the peer median.Open Payments
Industry payments received
All-time total
$964
Transactions
40
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Procept BioRobotics Corporation | 3 | $148.25 | |
| Janssen Biotech, INC. | 6 | $140.56 | |
| Edap Technomed INC | 6 | $93.00 | |
| Regeneron Healthcare Solutions, INC. | 4 | $85.27 | |
| Boston Scientific Corporation | 3 | $78.40 | |
| Lilly USA, LLC | 4 | $67.88 | |
| Urogen Pharma, INC. | 3 | $67.53 | |
| Endo USA, INC. | 2 | $41.72 | |
| Olympus America INC. | 1 | $40.65 | |
| Merck Sharp & Dohme LLC | 2 | $32.72 | |
| Pfizer INC. | 2 | $31.79 | |
| Evoke Pharma, INC. | 1 | $24.81 | |
| Ardelyx, INC. | 1 | $24.11 | |
| Daiichi Sankyo INC. | 1 | $21.55 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $18.45 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,578
Patients
890
Total drug cost
$158,193
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tamsulosin Hcl | Generic | 1,122 | 270 | $13,212 |
| Finasteride | Generic | 807 | 192 | $9,600 |
| Testosterone Cypionate | Generic | 509 | 71 | $15,022 |
| Oxybutynin Chloride | Generic | 200 | 62 | $2,534 |
| Alfuzosin Hcl ER (Alfuzosin Hcl) | Brand | 183 | 40 | $4,762 |
| Dutasteride | Generic | 162 | 39 | $6,199 |
| Nitrofurantoin (Nitrofurantoin Macrocrystal) | Brand | 129 | 25 | $3,612 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 116 | 100 | $1,120 |
| Gemtesa (Vibegron) | Brand | 69 | 15 | $38,501 |
| Myrbetriq (Mirabegron) | Brand | 69 | 16 | $48,638 |
Hospital affiliations
Frequently asked questions
What is Dr. Mark Swofford's medical specialty?
Dr. Mark Swofford practices Urology Physician in Pikeville, KY.
Where does Dr. Mark Swofford practice?
Dr. Mark Swofford practices at 911 Bypass RD Bldg A, Pikeville, KY 415011689. Office phone: 6064302202.
What is Dr. Mark Swofford's NPI?
Dr. Mark Swofford's National Provider Identifier (NPI) is 1245238484, issued by NPPES.
Does Dr. Mark Swofford accept Medicare assignment?
Yes. Dr. Mark Swofford accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Swofford commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221). Source: CMS Medicare Physician & Other Practitioners file.