Active NPI 1720030976 Individual Practitioner Male Practitioner

Dr. Gregory M Swank , MD

Plastic Surgery • Hickory, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Swank, MD is a certified Plastic Surgery practicing in Hickory, NC. With approximately 35 years of clinical experience since graduating from Rutgers New Jersey Medical School in 1991, Dr. Swank delivers high-quality medical care to the local community at 315 19TH ST SE.

Dr. Swank is affiliated with Piedmont Plastic Surgery And Dermatology Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs, removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

315 19th St Se

Hickory, NC 286024230

Telephone 8283259849

Fax 8283259879

Associated Practice Facility / Clinic

🏢 Gaston Dermatology Clinic P.a. Facility NPI 1710961263

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Hickory, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +14.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Hickory, NC (147 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Swank (35 Years) 35 Yrs

Hickory Specialty Average (20.3 Years) 20.3 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	37	$107.18	$53.07
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	57	53	$993.73	$395.38
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	57	52	$574.01	$114.20
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	46	42	$710.51	$273.65
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$140.95	$66.23
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	32	27	$653.85	$130.03
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	28	22	$925.89	$348.77
11102 Tangential biopsy of single skin lesion	24	23	$233.19	$90.08
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	22	22	$1103.12	$438.38
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	16	$403.49	$80.22
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	17	$594.81	$118.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$214.28	$102.70
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	12	11	$725.95	$144.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$173.02	$69.08
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	63	51	$586.10	$114.42
11102 Tangential biopsy of single skin lesion	51	50	$242.04	$95.15
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	48	44	$727.31	$283.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	30	$135.19	$54.24
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	47	43	$1020.97	$383.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$268.75	$105.85
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	29	29	$1131.07	$454.23
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	25	$668.63	$129.87
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	22	21	$952.64	$373.67
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	14	$409.98	$82.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	100	100	$176.75	$70.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	43	$136.98	$54.97
11102 Tangential biopsy of single skin lesion	69	64	$248.33	$98.12
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	49	42	$594.65	$119.62
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	40	38	$1041.40	$408.45
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	33	31	$738.13	$291.68
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	27	24	$1154.50	$464.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$272.50	$109.21
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	17	$677.63	$144.35
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$652.38	$139.77
11103 Biopsy of related skin growth, each additional growth	14	12	$124.03	$49.75
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	14	$2415.65	$972.28
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	13	$973.45	$391.50
17000 Destruction of skin growth	11	11	$162.90	$56.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	240	13	$674.61	$274.18
77401 Radiation treatment delivery, superficial	229	12	$97.85	$41.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	112	67	$111.19	$55.08
99202 New patient office or other outpatient visit, typically 20 minutes	72	72	$146.03	$69.55
11102 Tangential biopsy of single skin lesion	54	53	$249.54	$97.03
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	51	47	$1052.27	$419.45
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	36	$600.35	$118.59
G6001 Ultrasonic guidance for placement of radiation therapy fields	33	12	$356.42	$148.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	27	$745.76	$270.27
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$177.64	$89.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$228.06	$110.35
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	16	$683.33	$138.63
17000 Destruction of skin growth	18	17	$159.52	$50.31
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	16	$418.48	$80.34
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$984.85	$356.77
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	14	$1164.80	$472.53
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	13	13	$1232.30	$499.61
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$657.08	$155.51
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	11	11	$2425.19	$937.19
77300 Calculation of radiation therapy dose	11	11	$159.97	$64.86
77261 Simple radiation therapy planning	11	11	$174.43	$70.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	106	106	$147.13	$71.72
99213 Established patient office or other outpatient visit, typically 15 minutes	84	61	$145.47	$72.57
11102 Tangential biopsy of single skin lesion	83	79	$241.19	$92.32
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	74	70	$1044.90	$402.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	31	$87.68	$44.23
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	42	39	$1161.76	$459.36
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	31	$732.19	$283.43
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	27	$599.04	$117.02
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	31	30	$683.81	$138.08
11103 Biopsy of related skin growth, each additional growth	25	16	$128.31	$47.45
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	24	23	$973.11	$351.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$208.83	$105.61
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	16	$619.35	$131.71
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	14	$656.34	$148.41
17000 Destruction of skin growth	16	16	$158.15	$47.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$211.62	$107.04
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	15	$411.21	$82.99
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	13	$435.49	$120.59
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	13	13	$1228.38	$494.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	99	99	$147.54	$72.98
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	74	67	$1040.70	$410.14
11102 Tangential biopsy of single skin lesion	70	66	$237.05	$93.55
99213 Established patient office or other outpatient visit, typically 15 minutes	65	53	$143.88	$70.75
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	61	58	$599.08	$119.76
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	45	43	$1160.43	$463.59
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	42	$733.15	$269.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	25	$86.92	$43.40
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	33	33	$685.30	$136.89
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	31	30	$966.10	$367.30
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	22	$405.08	$74.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$211.10	$105.43
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	18	$655.98	$144.82
11103 Biopsy of related skin growth, each additional growth	18	13	$127.95	$51.12
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	14	$2458.90	$982.32
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	13	12	$2445.40	$935.79
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	13	13	$1229.37	$491.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	326	22	$670.49	$264.55
77401 Radiation treatment delivery, superficial	311	22	$59.27	$23.33
99202 New patient office or other outpatient visit, typically 20 minutes	116	116	$143.71	$71.11
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	83	76	$1022.18	$396.10
11100 Biopsy of single growth of skin and/or tissue	75	73	$252.25	$96.86
99213 Established patient office or other outpatient visit, typically 15 minutes	73	64	$140.08	$69.87
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	70	62	$1140.03	$444.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	42	$83.96	$41.77
G6001 Ultrasonic guidance for placement of radiation therapy fields	49	20	$129.03	$51.30
77336 Continuing radiation therapy consultation per week	46	16	$191.10	$75.27
77427 Radiation treatment management, 5 treatments	41	17	$453.18	$181.35
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	36	$595.20	$121.10
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	34	32	$681.35	$135.34
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	33	33	$947.13	$353.11
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	26	21	$650.40	$144.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	26	$723.55	$270.48
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	24	24	$2431.00	$966.57
11101 Biopsy of each additional growth of skin and/or tissue	24	17	$78.28	$31.18
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	20	$399.70	$79.27
17000 Destruction of skin growth	22	19	$158.25	$57.20
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	21	21	$1212.40	$481.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$206.82	$103.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$206.40	$102.91
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	15	$423.43	$113.76
77300 Calculation of radiation therapy dose	16	15	$161.65	$64.15
77261 Simple radiation therapy planning	15	15	$173.33	$69.29
77334 Design and construction of complex radiation treatment device	15	15	$312.45	$123.93
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	13	$615.23	$130.79
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	12	12	$2433.95	$965.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	188	188	$144.46	$71.21
11100 Biopsy of single growth of skin and/or tissue	116	112	$247.80	$97.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	67	$84.00	$41.39
99213 Established patient office or other outpatient visit, typically 15 minutes	73	61	$141.44	$69.35
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	52	48	$1027.28	$394.74
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	44	40	$596.88	$120.14
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	43	40	$1147.10	$435.75
17000 Destruction of skin growth	33	31	$160.23	$52.70
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	29	$728.03	$281.97
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	25	$653.75	$128.66
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	25	25	$2453.25	$928.74
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	23	$682.85	$134.38
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	23	21	$1221.63	$470.41
11101 Biopsy of each additional growth of skin and/or tissue	23	18	$79.15	$31.18
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	22	22	$951.10	$340.32
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	21	21	$2456.55	$966.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$208.48	$103.11
69100 Biopsy of ear	20	17	$240.73	$76.51
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	16	$617.25	$151.84
17003 Destruction of precancer skin growth, 2-14 growths	14	11	$13.43	$5.28
15120 Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)	13	12	$2060.24	$809.66
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	13	$2606.60	$1026.41
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$398.30	$91.45

Medical Specialties & State Licenses

CMS Verified: 2020-06-23

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NC 9700776

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

89065X6 (NC)

Hospital & Practice Group Affiliations

Piedmont Plastic Surgery And Dermatology Pa

959 Cox Rd, Gastonia, NC 280543420

Phone: 7048660106

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. George Magel , MD

Dermatology

NPI 1265768485

Doctor of Medicine (M.D.)

Dr. Charles Johnson , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1285636076

Doctor of Medicine (M.D.)

Kristen Bush , PA-C

Physician Assistant

NPI 1578979936

Physician Assistant (Certified)

Jessica Curtis-Yount , PA-C

Physician Assistant

NPI 1841524436

Physician Assistant (Certified)

Casey Johnson , PA

Physician Assistant

NPI 1871717017

Physician Assistant

Dr. Rosiane Roeder , MD

Plastic Surgery

NPI 1902055312

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address June 23, 2020

Registered at 1072 X RAY DR, GASTONIA, NC 280547488 (Tel: 7046711094)

✅

NPI Profile Active September 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 22, 2017

Registered at 315 19TH ST SE, HICKORY, NC 286024230 (Tel: 8283259849)

📍

Updated Business Mailing Address September 22, 2017

Registered at 959 COX RD, GASTONIA, NC 280543455 (Tel: (704) 866-7576)

👤

Provider Name / Credentials Updated September 22, 2017

Recorded as GREGORY SWANK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2017

Plastic Surgery (License #9700776 in NC)

✅

NPI Profile Active July 09, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2010

Registered at 959 COX RD, GASTONIA, NC 280543455 (Tel: 7048667576)

📍

Updated Business Mailing Address July 09, 2010

Registered at 959 COX RD, GASTONIA, NC 280543455 (Tel: 7048667576)

👤

Provider Name / Credentials Updated July 09, 2010

Recorded as GREGORY SWANK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2010

Plastic Surgery (License #9700776 in NC)

🟢

Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Gregory Swank. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1720030976

Entity Type:

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

Enumeration Date: May 16, 2006

Last Update: June 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1072 X Ray Dr

Gastonia, NC 280547488

Phone: 7046711094

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.