Medicare Enrolled
Dr. Stephen Swearingen, MD
Radiation Oncology · San Marcos, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Swearingen from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Swearingen
Dr. Stephen Swearingen is a radiation oncology specialist in San Marcos, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Swearingen performed 4,430 Medicare services across 4,085 unique beneficiaries.
Between the years covered by Open Payments, Dr. Swearingen received a total of $94 from 3 pharmaceutical and/or device companies across 3 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Swearingen is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 20% volume in TX
$94 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,430
Medicare services
Top 20% in TX for radiation oncology
4,085
Unique beneficiaries
$22
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~233 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Chest X-ray, 1 view An X-ray image of the chest taken from a single angle. This imaging test is used to visualize the structures within the chest cavity. |
802 | $6 | $50 |
| CT scan of head/brain, without contrast A CT scan uses X-rays to create detailed images of the head or brain without the use of contrast dye. |
295 | $29 | $200 |
| 3D screening mammography (tomosynthesis) A screening imaging test of the breast using 3D technology to detect potential abnormalities. |
293 | $28 | $95 |
| Screening mammography An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease. |
293 | $35 | $84 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
157 | $6 | $55 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
144 | $8 | $60 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
129 | $62 | $428 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
129 | $9 | $110 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
122 | $7 | $55 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
115 | $6 | $35 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
97 | $11 | $100 |
| CT scan of chest blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the chest. |
94 | $62 | $442 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
85 | $5 | $44 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
76 | $6 | $40 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
74 | $25 | $175 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
73 | $27 | $150 |
| CT scan of chest with contrast A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures. |
63 | $41 | $300 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
60 | $6 | $50 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
59 | $6 | $40 |
| MRI of brain with and without contrast An MRI scan of the brain using contrast dye both before and after administration to provide detailed images of brain structures. |
56 | $83 | $500 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
53 | $7 | $60 |
| CT scan of upper spine, without contrast A CT scan uses X-rays to create detailed images of the upper spine. This procedure is performed without the use of contrast dye. |
51 | $35 | $226 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
51 | $16 | $100 |
| CT scan of neck blood vessels with contrast A computed tomography scan that uses dye to visualize the blood vessels in the neck. This imaging test helps examine the structure and flow within the neck's vascular system. |
49 | $63 | $446 |
| Digital breast tomosynthesis (3D mammogram) A specialized imaging test that creates three-dimensional pictures of the breast tissue to help detect abnormalities. |
46 | $20 | $35 |
| MRI scan of brain, without contrast A magnetic resonance imaging test of the brain that does not use contrast dye. This procedure creates detailed images of the brain's structure using magnetic fields and radio waves. |
43 | $48 | $350 |
| Low dose CT scan of chest for lung cancer screening A specialized CT scan of the chest using a lower radiation dose to screen for lung cancer. |
39 | $50 | $199 |
| CT scan of head blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the head. |
38 | $64 | $350 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
37 | $28 | $150 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
36 | $9 | $50 |
| Limited ultrasound of 1 breast A focused ultrasound examination of a single breast to evaluate specific areas of concern. |
33 | $23 | $134 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
32 | $9 | $90 |
| X-ray of both hips, 3-4 views An X-ray imaging test that captures 3 to 4 views of both hip joints to visualize the bones and surrounding structures. |
29 | $9 | $65 |
| Limited abdominal ultrasound A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures. |
28 | $20 | $149 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
27 | $7 | $64 |
| CT scan of abdominal and pelvic blood vessels with contrast A computed tomography scan that uses contrast dye to visualize the blood vessels in the abdomen and pelvis. |
27 | $77 | $688 |
| Diagnostic mammography of both breasts | 27 | $30 | $84 |
| X-ray of lower leg, 2 views An X-ray imaging test of the lower leg using two different angles to visualize the bones and surrounding structures. |
25 | $5 | $44 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
25 | $24 | $130 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
24 | $8 | $60 |
| Rib X-ray, minimum 3 views An X-ray imaging test of the ribs on one side of the body. The procedure includes a minimum of three different views to capture detailed images. |
22 | $9 | $70 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
22 | $54 | $315 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
20 | $54 | $315 |
| Elbow X-ray, minimum 3 views An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures. |
20 | $6 | $45 |
| Diagnostic mammography of 1 breast An X-ray examination of one breast to evaluate specific breast symptoms or abnormalities. |
20 | $30 | $75 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
19 | $45 | $300 |
| X-ray of middle spine, 3 views An X-ray imaging test that captures three different views of the middle section of the spine to evaluate its structure. |
18 | $7 | $59 |
| X-ray of upper arm, minimum of 2 views An X-ray imaging test of the upper arm that captures at least two different views to evaluate the bones and surrounding structures. |
18 | $6 | $45 |
| CT scan of lower spine, without contrast A computed tomography scan that creates detailed images of the lower spine using X-rays without the use of contrast dye. |
17 | $32 | $226 |
| X-ray of thigh bone, minimum 2 views An X-ray imaging test of the thigh bone using at least two different angles to visualize the bone structure. |
16 | $7 | $40 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
16 | $74 | $500 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
15 | $39 | $270 |
| CT scan of chest with and without contrast A computed tomography scan of the chest performed using both intravenous contrast dye and without it to provide detailed images of internal structures. |
15 | $43 | $367 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
15 | $7 | $65 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
15 | $6 | $53 |
| CT scan of arm, without contrast A CT scan of the arm that uses X-rays to create detailed images of the arm's internal structures without the use of contrast dye. |
15 | $29 | $250 |
| X-ray of both knees, standing An X-ray image of both knees taken while the patient is standing to assess bone alignment and joint space under weight-bearing conditions. |
15 | $6 | $35 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
14 | $57 | $460 |
| Whole body bone and joint nuclear medicine scan A nuclear medicine imaging test that uses a radioactive tracer to create pictures of the entire skeleton and joints. This scan helps evaluate bone health and detect abnormalities throughout the body. |
14 | $24 | $250 |
| MRI of arm joint, without contrast An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye. |
13 | $50 | $350 |
| CT scan of leg, without contrast A computed tomography scan of the leg performed without the use of contrast dye. This imaging test uses X-rays to create detailed cross-sectional images of the leg's internal structures. |
13 | $36 | $200 |
| Abdominal X-ray, 1 view An X-ray image of the abdomen taken from a single angle to visualize internal structures. |
13 | $7 | $40 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
13 | $30 | $175 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
12 | $9 | $84 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
12 | $7 | $60 |
| MRI of abdomen with and without contrast An MRI scan of the abdomen using contrast dye before and after administration to create detailed images of internal structures. |
12 | $74 | $600 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
12 | $21 | $185 |
| Ultrasound of abdominal aorta An imaging test that uses sound waves to create pictures of the abdominal aorta, the large blood vessel that carries blood from the heart to the lower body. |
12 | $25 | $130 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
12 | $23 | $250 |
| CT scan of face, without contrast A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye. |
11 | $31 | $200 |
| X-ray of lower and sacral spine, minimum 6 views An X-ray imaging test that captures at least six views of the lower back and sacral spine to evaluate bone structure and alignment. |
11 | $9 | $85 |
| CT scan of abdomen with and without contrast A CT scan of the abdomen performed both before and after the administration of contrast dye to provide detailed images of internal structures. |
11 | $46 | $450 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
11 | $17 | $100 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2023 ↗$94
Total received (2019-2023)
Avg $31/year across 3 years
Bottom 32% in TX for radiation oncology
3
Companies
3
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$94 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2023
$22
2022
$19
2019
$52
Payments by company (2023)
Consulting
Speaking
Meals & Travel
Research
Carestream Health, Inc.
$52
Medtronic, Inc.
$22
GE HealthCare
$19
Top 3 companies account for 100.0% of total payments
Associated products mentioned in payments ›
KYPHON EXPRESS II KYPHOPAK TRAY · Medical Software
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $2 per 100 Medicare services performed
Geographic Context
Radiation oncologists within 10 mi
13
Per 100K population
5.1
County median income
$85,827
Nearest hospital
CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2023 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Swearingen is a mixed practice specialist, with above-average Medicare volume (top 20% in TX), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Swearingen experienced with chest x-ray, 1 view?
Based on Medicare claims data, Dr. Swearingen performed 802 chest x-ray, 1 view services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Swearingen receive payments from pharmaceutical companies?
Yes. Dr. Swearingen received a total of $94 from 3 companies across 3 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Swearingen's costs compare to other radiation oncologists in San Marcos?
Dr. Swearingen's average Medicare payment per service is $22. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Swearingen) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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