Dr. John Scott Swango , MD
Orthopaedic Surgery - Hand Surgery • Springfield, MO
1229 E Seminole St
Springfield, MO 658042227
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. John Swango is listed in NPPES under Orthopaedic Surgery - Hand Surgery.
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NPI assigned on October 4, 2005; this date does not establish years in practice.
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Published CMS data list 302 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J3301 — Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 44 service units.
- 20600 — Aspiration and/or injection of fluid from small joint: 42 service units.
- 99213 — Established patient outpatient office visit: 34 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 10 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 17 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 17 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 90% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Missouri (2024, 28 clinicians with data). Median for this group: 1,456. Middle half: 976 to 2,465.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,631 in 2020 to 302 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1229 E Seminole St
Springfield, MO 658042227
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Orthopaedic Surgery - Hand Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
114 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $27,292 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $20,133 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
17 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$74 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.
Open Payments general payments, program year 2024
All general payments: $73.17 across 4 records.
By nature of payment
- Food and Beverage: $73.17 across 4 records.
Reporting-company totals
- Boston Scientific Corporation: $34.43 across 2 records.
- VERTEX PHARMACEUTICALS INCORPORATED: $21.03 across 1 record.
- Pacira Pharmaceuticals Incorporated: $17.71 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Swango has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Swango as eligible to order or refer durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Springfield and Missouri
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Missouri (2024, 28 clinicians with data). Median for this group: 1,456. Middle half: 976 to 2,465.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Springfield have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 90% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Missouri (2024, 28 clinicians with data). Median for this group: $96,315. Middle half: $64,263 to $120,415.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Springfield have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 90% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Missouri (2024, 28 clinicians with data). Median for this group: $69,137. Middle half: $44,670 to $86,638.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Springfield have Medicare Part B data for 2024 to compare.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Swango are from 2023.
7 active clinicians are listed under Orthopaedic Surgery - Hand Surgery with a practice address in Springfield, MO (39 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 81% from 1,631 in 2020 to 302 in 2024.
- 2020: 1,631
- 2021: 1,671
- 2022: 664
- 2023: 154
- 2024: 302
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Medicare-allowed amount
Medicare-allowed amount decreased 76% from $112,289 in 2020 to $27,292 in 2024.
- 2020: $112,289
- 2021: $141,641
- 2022: $42,713
- 2023: $9,849
- 2024: $27,292
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Paid by Medicare
Paid by Medicare decreased 75% from $81,378 in 2020 to $20,133 in 2024.
- 2020: $81,378
- 2021: $104,403
- 2022: $27,796
- 2023: $7,588
- 2024: $20,133
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 93% from 252 in 2019 to 17 in 2023.
- 2019: 252
- 2020: 314
- 2021: 118
- 2022: 63
- 2023: 17
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30-day fills
30-day fills decreased 93% from 252 in 2019 to 17 in 2023.
- 2019: 252
- 2020: 314
- 2021: 118
- 2022: 63
- 2023: 17
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Part D drug cost
Part D drug cost decreased 95% from $1,374 in 2019 to $74 in 2023.
- 2019: $1,374
- 2020: $2,123
- 2021: $803
- 2022: $455
- 2023: $74
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $51.22 in 2019 to $73.17 in 2024.
- 2019: $51.22
- 2024: $73.17
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $73.17.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
|
— | General | $21.03 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WaveWriter Alpha Prime 16 | General | $18.72 |
| Pacira Pharmaceuticals Incorporated |
Food and Beverage
In-kind items and services
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Exparel | General | $17.71 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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WaveWriter Alpha Prime 16 | General | $15.71 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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44 | 37 | $66.26 | $0.96 |
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20600
Aspiration and/or injection of fluid from small joint
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42 | 21 | $177.05 | $41.27 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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34 | 27 | $142.00 | $82.20 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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34 | 27 | $213.00 | $117.32 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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32 | 32 | $212.00 | $102.08 |
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73130
X-ray of hand, minimum of 3 views
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29 | 22 | $107.00 | $32.33 |
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20550
Injection into tendon or ligament
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28 | 19 | $161.57 | $45.01 |
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64721
Release and/or relocation of hand nerve
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24 | 21 | $1139.00 | $384.44 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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22 | 22 | $325.00 | $154.25 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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13 | 12 | $86.00 | $49.85 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 17 | 42 | $74.38 | 16 |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207XS0106X
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - HAND SURGERY
I20031121000655
MO
8820992704
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Family Medicine - Sports Medicine
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated October 04, 2005.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Orthopaedic Surgery - Hand Surgery Specialists in Springfield
- Dr. Jonathan Cook, MD
- Dr. Robert Wyrsch, MD
- Dr. Victoria Kubik, MD
- Dr. Erin Greer, MD
- Dr. Vela Chebolu, MD
- Dr. David Schippert, MD
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Mailing Address
Po Box 2580
Springfield, MO 658012580
Phone: 4178294620