Active NPI 1952394520 Individual Practitioner Male Practitioner

Dr. Mark W Mcswain , MD

Pediatrics • Auburn, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Mcswain, MD is a certified Pediatrics practicing in Auburn, NY. With approximately 31 years of clinical experience since graduating from Duke University School Of Medicine in 1995, Dr. Mcswain delivers high-quality medical care to the local community at 161 GENESEE ST.

Dr. Mcswain is affiliated with Auburn Memorial Medical Services Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

161 Genesee St
Suite 203

Auburn, NY 130213451

Telephone 3152550947

Fax 3152550942

Associated Practice Facility / Clinic

🏢 Auburn Internal Medicine And Pediatrics, Llc Facility NPI 1508816695

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Auburn, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +6.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

11 Specialists

Practicing in Auburn, NY (6127 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcswain (31 Years) 31 Yrs

Auburn Specialty Average (24.3 Years) 24.3 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
36415 Insertion of needle into vein for collection of blood sample	353	196	$10.00	$8.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	155	$250.00	$122.05
99213 Established patient office or other outpatient visit, typically 15 minutes	167	93	$175.00	$86.34
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	123	102	$30.00	$15.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$260.00	$122.32
G0008 Administration of influenza virus vaccine	66	64	$30.00	$29.40
90673 Influenza vaccine, trivalent derived from recombinant dna	60	60	$72.00	$70.04
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	26	14	$35.00	$16.20
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$50.00	$13.55
81002 Urinalysis, manual test	20	18	$13.50	$3.41
90480 Admn sarscov2 vacc 1 dose	18	18	$40.00	$39.20
91322 Sarscov2 vac 50 mcg/0.5ml im	18	18	$115.00	$112.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	146	$250.00	$121.98
36415 Insertion of needle into vein for collection of blood sample	295	153	$10.00	$8.35
99213 Established patient office or other outpatient visit, typically 15 minutes	190	97	$175.00	$86.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	105	105	$260.00	$123.67
G0008 Administration of influenza virus vaccine	55	54	$30.00	$29.40
90662 Influenza vaccine split virus, preservative free	38	38	$70.00	$68.60
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$50.00	$13.81
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$40.00	$21.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	315	158	$250.00	$123.19
36415 Insertion of needle into vein for collection of blood sample	312	160	$10.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	149	93	$175.00	$87.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	102	102	$260.00	$126.86
90682 Influenza vaccine, quadrivalent derived from recombinant dna	74	72	$75.00	$67.30
G0008 Administration of influenza virus vaccine	72	70	$30.00	$28.56
93000 Routine ekg using at least 12 leads including interpretation and report	32	30	$50.00	$13.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$330.00	$153.25
G0009 Administration of pneumococcal vaccine	15	15	$30.00	$28.64
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$316.67	$276.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	327	157	$10.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	152	$236.77	$126.61
99213 Established patient office or other outpatient visit, typically 15 minutes	170	103	$168.88	$89.46
90682 Influenza vaccine, quadrivalent derived from recombinant dna	74	73	$71.22	$64.17
G0008 Administration of influenza virus vaccine	70	69	$29.59	$16.35
93000 Routine ekg using at least 12 leads including interpretation and report	32	30	$50.00	$14.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$247.20	$130.23
81003 Automated urinalysis test	16	13	$25.00	$2.25
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$141.00	$51.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	326	168	$10.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	266	140	$135.00	$72.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	131	$195.00	$105.49
90682 Influenza vaccine, quadrivalent derived from recombinant dna	86	85	$64.53	$59.94
G0008 Administration of influenza virus vaccine	83	82	$30.00	$16.25
93000 Routine ekg using at least 12 leads including interpretation and report	26	24	$50.00	$16.74
81003 Automated urinalysis test	24	20	$25.00	$2.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$172.61	$114.92
99496 Transitional care management services for problem of high complexity	16	14	$356.25	$241.51
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$141.00	$52.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	317	163	$10.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	302	136	$135.00	$71.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	140	$195.00	$105.27
G0008 Administration of influenza virus vaccine	84	84	$30.00	$15.94
90682 Influenza vaccine, quadrivalent derived from recombinant dna	65	65	$55.00	$53.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$170.96	$113.12
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$50.00	$16.41
81003 Automated urinalysis test	20	17	$14.00	$2.44
90662 Influenza vaccine split virus, preservative free	18	18	$45.00	$44.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	13	$141.00	$51.70
99496 Transitional care management services for problem of high complexity	15	14	$330.00	$225.25
G0009 Administration of pneumococcal vaccine	14	14	$30.00	$15.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	323	178	$195.00	$100.99
36415 Insertion of needle into vein for collection of blood sample	311	155	$10.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	266	137	$135.00	$68.97
G0008 Administration of influenza virus vaccine	95	95	$30.00	$19.40
90662 Influenza vaccine split virus, preservative free	71	71	$45.00	$43.48
93000 Routine ekg using at least 12 leads including interpretation and report	38	36	$50.00	$15.93
81003 Automated urinalysis test	25	16	$5.00	$2.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$171.04	$110.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$195.00	$96.67
71046 X-ray of chest, 2 views	22	22	$45.00	$16.77
G0009 Administration of pneumococcal vaccine	17	17	$30.00	$19.61
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	12	$35.00	$16.20
81002 Urinalysis, manual test	14	14	$13.50	$3.41
90471 Administration of 1 vaccine	14	13	$30.00	$19.32
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$110.00	$105.59
90682 Influenza vaccine, quadrivalent derived from recombinant dna	12	12	$55.00	$52.30
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$30.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	339	203	$195.00	$102.61
36415 Insertion of needle into vein for collection of blood sample	300	155	$10.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	249	144	$135.00	$69.95
G0008 Administration of influenza virus vaccine	87	84	$30.00	$24.23
90662 Influenza vaccine split virus, preservative free	78	76	$44.49	$42.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$295.00	$157.64
93000 Routine ekg using at least 12 leads including interpretation and report	26	25	$50.00	$16.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$170.00	$111.15
G0009 Administration of pneumococcal vaccine	23	23	$30.00	$24.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$195.00	$103.68
71020 X-ray of chest, 2 views, front and side	19	17	$60.00	$15.98
81003 Automated urinalysis test	18	12	$5.00	$3.02
81002 Urinalysis, manual test	17	17	$13.50	$3.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$260.00	$139.50
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$35.00	$15.00
90670 Pneumococcal vaccine for injection into muscle	13	13	$180.08	$176.47
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$110.00	$88.80

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 201382

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NY 201382

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02364565 (NY)

Hospital & Practice Group Affiliations

Auburn Memorial Medical Services Pc

161 Genesee St, Auburn, NY 130213498

Phone: 3152550947

Practice Associates & Co-Workers

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

6 Associated Practitioners

Catherine Fessenden

Nurse Practitioner - Family

NPI 1063949816

Dr. Joseph Graney , MD

Pediatrics

NPI 1225021892

Doctor of Medicine (M.D.)

Dr. Michael Sojka , MD

Family Medicine

NPI 1306339908

Doctor of Medicine (M.D.)

Amy Pine , MS, RPA-C

Physician Assistant - Medical

NPI 1578716403

Master of Science, RPAC

Emma Dizon , FNP

Nurse Practitioner - Family

NPI 1619240249

Family Nurse Practitioner

Lauren Scala , MSN, FNP

Nurse Practitioner - Family

NPI 1851933006

Master of Science in Nursing, Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2015

Registered at 161 GENESEE ST, SUITE 203, AUBURN, NY 130213451 (Tel: 3152550947)

📍

Updated Business Mailing Address February 27, 2015

Registered at 161 GENESEE ST, SUITE 203, AUBURN, NY 130213451 (Tel: 3152550947)

👤

Provider Name / Credentials Updated February 27, 2015

Recorded as MARK MCSWAIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2015

Internal Medicine (License #201382 in NY)

🟢

Initial NPI Registration & Enumeration August 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952394520

Entity Type:

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

Enumeration Date: August 29, 2005

Last Update: February 27, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

161 Genesee St, Suite 203

Auburn, NY 130213451

Phone: 3152550947

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.