DR. TARA SAMANTHA SWIM (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1104267012

DR. TARA SAMANTHA SWIM (M.D.) is a healthcare provider. based in Brockton, Massachusetts. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 4301103216 (MI). The NPI Number for DR. TARA SAMANTHA SWIM (M.D.) is 1104267012

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. TARA SAMANTHA SWIM (M.D.)
NPI
1104267012
Phone
(508) 565-3055
Address
110 LIBERTY ST
Enumeration Date
9 July 2013
Last Update Date
15 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
7068639797
Graduation Year
2013 (13 years ago)
PAC ID
6901039080
Group Practice PAC ID
8527052463
Professional Enrollment ID
I20220323001085
Address ID
GA309091867AU3650XCIRX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

334 PHYSICAL MEDICINE AND REHABILITATION in MA

Provider Addresses for DR. TARA SAMANTHA SWIM (M.D.)

  • 110 LIBERTY ST

    BROCKTON, MA 023015674

    Phone: (508) 565-3055

    Fax: (508) 894-0757

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $3,268.

Total Amount is formed as General ($3,268) + Research ($0) + Ownership ($0) = $3,268.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Medtronic, Inc. ($2,096).

Total Amount

$3,268

General + Research + Ownership

Payments

54

Total payment records

General Amount

$3,268

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2022-03-23

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
I20220323001085IPhysical Medicine And RehabilitationGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes12179$0
99213Established patient office or other outpatient visit, 20-29 minutes10476$0
95885Needle measurement of electrical activity in arm or leg muscles, limited study10477$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level9183$0
99204New patient office or other outpatient visit, 45-59 minutes8888$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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: 8527052463View full group profile
NameSpecialtyState
Nurse PractitionerGA
Orthopedic SurgeryGA
Physician AssistantGA
Orthopedic SurgeryGA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
Orthopedic SurgeryGA
Orthopedic SurgeryGA
Physician AssistantGA

Reviews

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Frequently asked questions

Can I verify DR. TARA SAMANTHA SWIM (M.D.) with an NPI only?
You can start verification with NPI 1104267012 for DR. TARA SAMANTHA SWIM (M.D.), then check state licensing separately.
Is DR. TARA SAMANTHA SWIM (M.D.) still practicing?
DR. TARA SAMANTHA SWIM (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does DR. TARA SAMANTHA SWIM (M.D.) hold?
Scheduling teams often label DR. TARA SAMANTHA SWIM (M.D.) under Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. TARA SAMANTHA SWIM (M.D.) on a map?
Expect Brockton, Massachusetts as a primary anchor for DR. TARA SAMANTHA SWIM (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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