Active NPI 1225074560 Individual Practitioner Male Practitioner

Dr. Thomas J Swope , MD

Surgery • Baltimore, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Swope, MD is a certified Surgery practicing in Baltimore, MD. With approximately 33 years of clinical experience since graduating from St. Louis College Of Physicians And Surgeons in 1993, Dr. Swope delivers high-quality medical care to the local community at 301 SAINT PAUL PL.

Dr. Swope is affiliated with St Paul Place Specialists, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, repair of groin hernia using an endoscope, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

301 Saint Paul Pl
Pob 912

Baltimore, MD 212022102

Telephone 4103329653

Fax 4107835888

Associated Practice Facility / Clinic

🏢 Mercy Medical Center Facility NPI 1609872357

Medicare Profile & Education

Medical School

St. Louis College Of Physicians And Surgeons

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Baltimore, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +10.2 yrs vs City Avg

City Avg: 22.8 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

266 Specialists

Practicing in Baltimore, MD (717 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Swope (33 Years) 33 Yrs

Baltimore Specialty Average (22.8 Years) 22.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$561.00	$173.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$448.00	$134.71
49650 Repair of groin hernia using an endoscope	42	42	$2331.92	$558.73
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$305.00	$94.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$433.00	$133.62
15734 Creation of muscle graft to trunk	30	13	$5115.00	$1131.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	12	$191.00	$59.16
49592 Initial repair of entrapped hernia of abdomen, less than 3 cm in length	15	15	$1562.00	$386.66
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$220.00	$64.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$325.00	$99.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$448.00	$141.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$561.00	$178.53
49650 Repair of groin hernia using an endoscope	40	40	$2329.08	$551.76
15734 Creation of muscle graft to trunk	31	13	$5115.00	$1164.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$325.00	$100.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$433.00	$136.85
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$305.00	$96.90
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$220.00	$69.95
49651 Repair of recurrent groin hernia using an endoscope	11	11	$1942.00	$539.62
49596 Initial repair of entrapped hernia of abdomen, more than 10 cm in length	11	11	$3315.82	$661.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$561.00	$179.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$448.00	$144.14
49650 Repair of groin hernia using an endoscope	34	34	$2283.41	$526.45
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$305.00	$97.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$433.00	$137.51
49585 Repair of hernia at navel (5 years or older)	17	17	$1544.00	$353.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$325.00	$98.60
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$220.00	$70.86
47562 Removal of gallbladder using an endoscope	13	13	$2273.00	$739.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$559.97	$180.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$447.65	$144.98
49650 Repair of groin hernia using an endoscope	37	37	$2170.25	$530.03
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$302.60	$96.66
47562 Removal of gallbladder using an endoscope	22	22	$2293.66	$699.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$428.89	$137.22
49585 Repair of hernia at navel (5 years or older)	18	18	$1542.83	$322.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$325.00	$106.87
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$220.00	$72.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$535.95	$174.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$429.67	$136.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$355.00	$115.04
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$244.81	$81.55
49650 Repair of groin hernia using an endoscope	31	31	$2083.94	$511.02
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$166.74	$52.87
49585 Repair of hernia at navel (5 years or older)	20	20	$1522.15	$367.43
47562 Removal of gallbladder using an endoscope	16	16	$2252.50	$668.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$654.69	$217.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$255.69	$85.07
49560 Repair of incisional or abdominal hernia	12	12	$2524.00	$769.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$534.07	$173.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$417.11	$136.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	25	$235.00	$76.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$651.15	$213.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$258.79	$83.33
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$241.88	$79.30
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$165.04	$54.00
49650 Repair of groin hernia using an endoscope	27	27	$2054.01	$509.25
49585 Repair of hernia at navel (5 years or older)	26	26	$1505.77	$351.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$353.00	$115.86
47562 Removal of gallbladder using an endoscope	17	17	$2282.47	$711.19
49651 Repair of recurrent groin hernia using an endoscope	11	11	$2404.18	$676.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$535.78	$173.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$418.88	$137.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	13	$235.00	$77.07
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$165.86	$54.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$253.85	$83.14
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$237.85	$78.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$351.00	$114.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	16	$655.72	$215.18
49650 Repair of groin hernia using an endoscope	14	14	$2480.14	$551.47
49585 Repair of hernia at navel (5 years or older)	12	12	$1501.83	$390.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$531.00	$174.16
99213 Established patient office or other outpatient visit, typically 15 minutes	63	50	$164.00	$53.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$418.00	$135.87
99213 Established patient office or other outpatient visit, typically 15 minutes	50	42	$237.00	$77.73
49650 Repair of groin hernia using an endoscope	17	17	$1938.76	$394.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	14	$651.00	$213.28
49585 Repair of hernia at navel (5 years or older)	13	13	$1489.00	$394.23

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MD D0053154

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

022501100 (MD)

Commercial Insurance / Payer ID Bluechoice

S186 / 0003 (MD)

Commercial Insurance / Payer ID Bc / Bs Of Md

KG65ST / 685779-01 (MD)

Hospital & Practice Group Affiliations

St Paul Place Specialists, Inc.

301 Saint Paul St, Baltimore, MD 212022102

Phone: 4103854930

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Sophia Martonick

Physician Assistant

NPI 1093434839

Dr. Nora Meenaghan , MD

Surgery

NPI 1649306762

Doctor of Medicine (M.D.)

Dr. Lindsay Hessler , MD

Surgery

NPI 1659632933

Doctor of Medicine (M.D.)

Mackenzie Skellan , PA-C

Physician Assistant - Surgical

NPI 1831524172

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 301 SAINT PAUL PL, POB 912, BALTIMORE, MD 212022102 (Tel: 4103329653)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 64075, BALTIMORE, MD 212644075

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS SWOPE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #D0053154 in MD)

🟢

Initial NPI Registration & Enumeration June 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1225074560

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 22, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 64075

Baltimore, MD 212644075

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.