GARY WADE SWARTZENTRUBER (MD) – Family Medicine Physician, NPI 1083937908

GARY WADE SWARTZENTRUBER (MD) is a healthcare provider. based in Moultrie, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 63965 (GA). The NPI Number for GARY WADE SWARTZENTRUBER (MD) is 1083937908

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
GARY WADE SWARTZENTRUBER (MD)
NPI
1083937908
Phone
(229) 891-9016
Address
2709 S Main St
Enumeration Date
5 March 2010
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2298915308
Graduation Year
2008 (18 years ago)
PAC ID
7719016575
Group Practice PAC ID
9537458815
Professional Enrollment ID
I20100603000832
Address ID
GA317680428MO440XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for GARY WADE SWARTZENTRUBER (MD)

  • 2709 S Main St

    Moultrie, GA 317686906

    Phone: (229) 891-9016

    Fax: (229) 891-9185

    Type: Location

  • 233 Sunset Cir

    Moultrie, GA 317686926

    Phone: (229) 891-9016

    Fax: (229) 891-9185

    Type: Location

  • 139 E Broad

    Norman Park, GA 317715085

    Phone: (229) 769-3500

    Type: Location

  • 101 Cobblestone Trce SE

    Moultrie, GA 31788

    Phone: (229) 891-9016

    Fax: (229) 891-9185

    Type: Location

  • 3003 Veterans Pkwy S

    Moultrie, GA 317886705

    Phone: (229) 891-9016

    Fax: (229) 891-9185

    Type: Location

  • PO BOX 2876

    MOULTRIE, GA 317762876

    Phone: (229) 891-9016

    Type: Mailing

  • Laurel Court, Moultrie, Colquitt County, Georgia, 31768, United States

    MOULTRIE, GA 317686889

    Phone: (229) 891-9016

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 396 Open Payments records for all available years, with a total value of $15,742.

Total Amount is formed as General ($15,742) + Research ($0) + Ownership ($0) = $15,742.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Amgen Inc. ($10,048).

Total Amount

$15,742

General + Research + Ownership

Payments

396

Total payment records

General Amount

$15,742

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100603000832IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96366Infusion into a vein for therapy, prevention, or diagnosis, each additional hour2613$0
81002Urinalysis, manual test2523$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less1313$0
96521Refilling and maintenance of portable pump1313$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 31768)

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Provider's Procedures

GARY WADE SWARTZENTRUBER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA81002Urinalysis, manual test6142

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537458815View full group profile
NameSpecialtyState
-GA
Family PracticeGA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Can I cross-check GARY WADE SWARTZENTRUBER (MD) using NPI 1083937908?
NPI 1083937908 belongs to GARY WADE SWARTZENTRUBER (MD); compare other details if you need extra assurance.
Is GARY WADE SWARTZENTRUBER (MD) shown as active in public data?
Registry records indicate GARY WADE SWARTZENTRUBER (MD) maintains an active NPI.
What clinical focus is listed for GARY WADE SWARTZENTRUBER (MD)?
At a glance, GARY WADE SWARTZENTRUBER (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with GARY WADE SWARTZENTRUBER (MD)?
Directory geography for GARY WADE SWARTZENTRUBER (MD) centers on Moultrie, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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