LYNN SWAFFORD – Physician Assistant, NPI 1174918445

LYNN SWAFFORD is a healthcare provider. based in Riverside, Missouri. specializing in PHYSICIAN ASSISTANT. They hold a License No. 2014043323 (MO). The NPI Number for LYNN SWAFFORD is 1174918445

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LYNN SWAFFORD
NPI
1174918445
Phone
(816) 472-0400
Address
1805 NW PLATTE RD
Enumeration Date
2 April 2015
Last Update Date
2 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3149931714
Graduation Year
2014 (12 years ago)
PAC ID
4183958655
Group Practice PAC ID
1153689294
Professional Enrollment ID
I20190703001127
Address ID
MO631223356SA2325XRDXX408
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for LYNN SWAFFORD

  • 1805 NW PLATTE RD

    RIVERSIDE, MO 641509601

    Phone: (816) 472-0400

    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 135 Open Payments records for all available years, with a total value of $2,711.

Total Amount is formed as General ($2,711) + Research ($0) + Ownership ($0) = $2,711.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($442).

Total Amount

$2,711

General + Research + Ownership

Payments

135

Total payment records

General Amount

$2,711

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2019-07-03

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
I20190703001127IPhysician AssistantMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes312187$0
17003Destruction of precancer skin growth, 2-14 growths19249$0
17000Destruction of precancer skin growth, 1 growth13381$0
11102Biopsy of related skin growth, first growth131115$0
99212Established patient office or other outpatient visit, 10-19 minutes6861$0
View full utilization report →

Insurance plans in this area (ZIP 64150)

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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: 1153689294View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
D E R M A T O L O G YMO
D E R M A T O L O G YMO
D E R M A T O L O G YMO
Physician AssistantTX
Physician AssistantMO
D E R M A T O L O G YMO
Physician AssistantMO
-MO
D E R M A T O L O G YMO

Reviews

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Frequently asked questions

What NPI should I save for LYNN SWAFFORD?
Save NPI 1174918445 if you need a stable reference for LYNN SWAFFORD.
Is LYNN SWAFFORD's NPI currently valid?
The extract we use shows LYNN SWAFFORD as active.
What does LYNN SWAFFORD treat or focus on?
Patients typically see LYNN SWAFFORD under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place LYNN SWAFFORD?
The snapshot lists Riverside, Missouri for LYNN SWAFFORD; download NPPES for the complete set.
Is LYNN SWAFFORD a real provider?
This page reflects official NPPES data for NPI 1174918445. Always confirm identity and privileges with the practice and licensing boards.

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