DR. PAUL ERIC SZWEJBKA M.D., M.P.H.
NPI 1366447757
Psychiatry & Neurology - Neurology in Fayetteville, NC


Quality Rating: 75 out of 100 score

NPI Status: Active since June 14, 2005

Contact Information

4140 FERNCREEK DR
STE 401
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 323-0179
Fax: (910) 323-4295

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  • Individual
  • Male
  • Years of Experience 26
  • Psychiatry & Neurology
  • Neurology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About PAUL SZWEJBKA

This page provides the complete NPI Profile along with additional information for Paul Szwejbka, a provider established in Fayetteville, North Carolina with a medical specialization in Psychiatry & Neurology, focusing in neurology and more than 26 years of experience. He graduated from University Of South Carolina School Of Medicine in 2000. The healthcare provider is registered in the NPI registry with number 1366447757 assigned on June 2005. The practitioner's primary taxonomy code is 2084N0400X with license number 200400759 (NC). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1366447757
Provider Name
DR. PAUL ERIC SZWEJBKA M.D., M.P.H.
Gender
Male
Entity Type
Individual
Location Address
4140 FERNCREEK DR STE 401 FAYETTEVILLE, NC 28314
Location Phone
(910) 323-0179
Location Fax
(910) 323-4295
Mailing Address
4140 FERNCREEK DR STE 401 FAYETTEVILLE, NC 28314
Mailing Phone
(910) 323-0179
Mailing Fax
(910) 323-4295
Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year
2000
Is Sole Proprietor?
Yes
Enumeration Date
06-14-2005
Last Update Date
11-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
200400759
License State
NC
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5862590OTHER (01)NCCIGNA HEALTHCARE
5903113MEDICAID (05)NC 
2032388AMEDICARE PIN (08)NC 
13679OTHER (01)NCBCBS
I20054MEDICARE UPIN (02)NC 

Medicare Participation & PECOS Enrollment Status

Paul Szwejbka is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Paul Szwejbka is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4183686868

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20041104000046

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of chemotherapy into vein, 1 hour or less

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

This service was performed 67 times for 12 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 46 times for 39 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 284 times for 179 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 264 times for 156 patients

Needle measurement of electrical activity in arm or leg muscles, complete study

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

This service was performed 158 times for 78 patients

Nerve conduction, 3-4 studies

Nerve conduction studies are tests that measure how well your nerves are working. In a 3-4 studies procedure, electrical signals are sent through 3-4 nerves. The speed and strength of the signal's travel is recorded to detect any nerve damage or dysfunction.

This service was performed 13 times for 13 patients

Nerve conduction, 7-8 studies

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.

This service was performed 38 times for 38 patients

Nerve conduction, 9-10 studies

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

This service was performed 32 times for 32 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 77 times for 77 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.25 for a new patient copayment and $23.98 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 28314 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $125.01
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $31.25
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.94
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $23.98
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 75 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: N/A

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Dementia: Functional Status Assessment 73% 90
Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months
Documentation of Current Medications in the Medical Record 100% 1670
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 85% 2344
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Falls: Plan of Care 89% 35
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
Falls: Risk Assessment 20% 35
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
Falls: Screening for Future Fall Risk 63% 344
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK 83% 142
Percentage of patients age 12 years and older with a diagnosis of migraine who were prescribed a guideline recommended medication for acute migraine attacks within the 12 month measurement period.
Patient-Specific Education 100% 1008
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access 100% 1008
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Screening for Psychiatric or Behavioral Health Disorders 34% 216
Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Specialized Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Paul Szwejbka is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CAPE FEAR VALLEY MEDICAL CENTER1638 OWEN DRIVE P O BOX 2000
FAYETTEVILLE, NC 28302
(910) 609-4000Acute Care Hospitals
SOUTHEASTERN REGIONAL MEDICAL CENTER300 W 27 ST PO BOX 1408
LUMBERTON, NC 28359
(910) 671-5000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366447757
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231268414710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 8 + 4 + 1 + 4 + 7 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1366447757 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366424988DR. WALTER BLAIR GREENE MD
Individual
Orthopaedic Surgery4140 FERNCREEK DR SUITE 801
FAYETTEVILLE, NC 28314
(910) 484-2171
1992779656DR. JAMES PATRICK FLANAGAN M.D.
Individual
Orthopaedic Surgery4140 FERNCREEK DR SUITE 801
FAYETTEVILLE, NC 28314
(910) 484-2171
1992770572MR. SEAN MACKEY WILSON PA-C
Individual
Physician Assistant (Surgical)4140 FERNCREEK DR SUITE 801
FAYETTEVILLE, NC 28314
(910) 484-2171
1346393055A BRIGHTER FUTURE HEALTHCARE SERVICES INC.
Organization
Durable Medical Equipment & Medical Supplies4140 FERNCREEK DR SUITE 300
FAYETTEVILLE, NC 28314
(910) 321-6006
1124171814A BRIGHTER FUTURE HEALTHCARE SERVICES
Organization
Home Health4140 FERNCREEK DR SUITE 300
FAYETTEVILLE, NC 28314
(910) 321-6006
1457522799A BRIGHTER FUTURE HEALTHCARE SERVICES
Organization
Home Health4140 FERNCREEK DR STE 300
FAYETTEVILLE, NC 28314
(910) 321-6006
1801048152CAPE FEAR FAMILY MEDICAL CARE, PA
Organization
Clinic/Center (Sleep Disorder Diagnostic)4140 FERNCREEK DR SUITE 701
FAYETTEVILLE, NC 28314
(910) 339-9800
1104064401MARVISTA
Organization
Specialist4140 FERNCREEK DR SUITE 802
FAYETTEVILLE, NC 28314
(910) 486-7081
1801126909 TIMOTHY GANT LPC, LCAS, CSI
Individual
Counselor (Professional)4140 FERNCREEK DR SUITE 300
FAYETTEVILLE, NC 28314
(910) 321-6006
1144592411A BRIGHTER FUTURE
Organization
Community/Behavioral Health4140 FERNCREEK DR STE 300
FAYETTEVILLE, NC 28314
(910) 321-6006
1457612871MR. BARRY W MINOR CP
Individual
Prosthetist4140 FERNCREEK DR SUITE 803
FAYETTEVILLE, NC 28314
(910) 483-5737
1598739682DR. LOUIS PHILLIP CLARK JR. M.D.
Individual
Orthopaedic Surgery (Hand Surgery)4140 FERNCREEK DR SUITE 801
FAYETTEVILLE, NC 28314
(910) 484-2171
1285608943DR. DOUGLAS SINTON MCFARLANE M.D.
Individual
Orthopaedic Surgery4140 FERNCREEK DR SUITE 801
FAYETTEVILLE, NC 28314
(910) 484-2171
1457325110DR. BRADLEY JAMES BROUSSARD M.D.
Individual
Orthopaedic Surgery4140 FERNCREEK DR SUITE 801
FAYETTEVILLE, NC 28314
(910) 484-2171
1083692131DR. EDWIN CARRAWAY NEWMAN III M.D.
Individual
Orthopaedic Surgery4140 FERNCREEK DR SUITE 801
FAYETTEVILLE, NC 28314
(910) 484-2171
1548226004CUMBERLAND COUNTY HOSPITAL SYSTEM
Organization
Surgery4140 FERNCREEK DR SUITE 601
FAYETTEVILLE, NC 28314
(910) 485-3880
1093714024 DAVID A GOODMAN M.D.
Individual
Surgery4140 FERNCREEK DR SUITE 601
FAYETTEVILLE, NC 28314
(910) 485-3880
1851366652 RAVINDER KUMAR ANNAMANENI MD
Individual
Surgery4140 FERNCREEK DR SUITE 601
FAYETTEVILLE, NC 28314
(910) 485-3880
1912004128 CARL BRUCE CASCIERE PT
Individual
Physical Therapist4140 FERNCREEK DR
FAYETTEVILLE, NC 28314
(910) 486-7081
1487911772 ALLISON SILLS SCHWARTZ OTR/L
Individual
Occupational Therapist4140 FERNCREEK DR SUITE 802
FAYETTEVILLE, NC 28314
(910) 486-7081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366447757, enumerated in the NPI registry as an "individual" on June 14, 2005

The provider is located at 4140 Ferncreek Dr Ste 401 Fayetteville, Nc 28314 and the phone number is (910) 323-0179

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

The provider has more than 26 years of experience. He graduated from University Of South Carolina School Of Medicine in 2000.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $125.01 with an average copayment of $31.25 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Administration of chemotherapy into vein, 1 hour or less, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Needle measurement of electrical activity in arm or leg muscles, complete study, Nerve conduction, 3-4 studies, Nerve conduction, 7-8 studies, Nerve conduction, 9-10 studies and New patient office or other outpatient visit, 60-74 minutes.

The practitioner is affiliated to the following hospital(s): CAPE FEAR VALLEY MEDICAL CENTER and SOUTHEASTERN REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.