Mark J. Swofford, DO
NPI 1245238484ActiveIndividual· Urology· Pikeville, KY
Urology (DO) in Pikeville, Kentucky, trained at At Still University of Health Sciences, College of Osteo Med, Kirksville (class of 1990). Their prescriptions cost Medicare Part D more than their services did: $180,368 for 3,915 claims, against $39,280 paid for services in 2024. Urogen Pharma, Inc. was the largest of 22 companies reporting payments in 2025, $1,033 in all, mostly food and beverage.
Overview
| NPI | 1245238484 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jul 12, 2005 |
| Last updated in NPPES | Jun 7, 2022 |
| Certified by provider | Jun 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | 02625 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 378 |
|---|---|
| Services billed | 610 across 27 procedure codes |
| Paid by Medicare | $39,280 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,915 · 6,418 30-day fills |
|---|---|
| Patients | 685 |
| Total drug cost | $180,368 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | At Still University of Health Sciences, College of Osteo Med, Kirksville |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Urology |
Medical group
- Pikeville Medical Center IncCharleston, WV · 425 clinicians
Hospital affiliation
- Pikeville Medical CenterPikeville, KY
Industry payments (Open Payments)
- 2025$1,033 · 49 payments from 22 companies
- 2024$964.36 · 43 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Urogen Pharma, Inc. | $163.45 | 8 |
| Janssen Biotech, Inc. | $126.77 | 6 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $115.98 | 5 |
| Calyxo, Inc. | $81.63 | 3 |
| Progenics Pharmaceuticals, Inc. | $59.38 | 3 |
What the 2025 payments were for
- Food and Beverage$1,033 · 49 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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