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Dr. David W. Swift, MD

(450 Ratings)

Specializes in: Adult Rheumatology

Professional interests include: rheumatic diseases, muscle diseases (myopathies), Sjogren's syndrome, and more.

729 N. Custer Avenue
Grand Island, NE 68803

(308) 382-9266

Dr. David W. Swift, MD is a rheumatologist in Grand Island, NE specializing in adult rheumatology. Dr. David W. Swift, MD is affiliated with Nebraska Medicine.

Office Locations

Nebraska Medicine

729 N. Custer Avenue
Grand Island, NE 68803

(308) 382-9266

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Noteworthy Medicare Patient Procedures Performed by Dr. David W. Swift, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 10%

By Volume:

injections

joint aspiration

In 2023, Dr. David W. Swift, MD performed more injections, and joint aspiration procedures for Medicare patients than 90% of providers in related specialties within Nebraska.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. David W. Swift, MD treated as a rheumatologist in Grand Island, NE during 2012 were lab tests, injections, aspiration and blood draw.

Volume of procedures performed by Dr. David W. Swift, MD for Medicare patients.

aspiration	936
biological response modifier (BRM) therapy	126
blood draw	793
chemotherapy	126
doctor visit	1657
hospital care	233
injections	1097
inpatient care	233
lab tests	2676
minimally invasive procedures	140
musculoskeletal imaging	208
pain management	38
preventive care	38
spinal procedures	12
thyroid function tests	14
vaccines	38
vertebral fracture assessment (VFA)	52
X-rays	220

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. David W. Swift, MD treated as a rheumatologist in Grand Island, NE during 2013 were lab tests, injections, blood draw and aspiration.

Volume of procedures performed by Dr. David W. Swift, MD for Medicare patients.

aspiration	737
biological response modifier (BRM) therapy	145
blood draw	788
chemotherapy	145
doctor visit	1514
hospital care	122
injections	845
inpatient care	122
lab tests	2784
minimally invasive procedures	162
musculoskeletal imaging	229
pain management	34
preventive care	36
thyroid function tests	13
vaccines	36
vertebral fracture assessment (VFA)	77
X-rays	229

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. David W. Swift, MD.

**Gender**
Male	213
Female	784

**Ethnicity**
Non-Hispanic White	954
Black	0
Hispanic	21
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	436
From 75 to 84	283
85 and over	108
Less than 65	170

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2013

Hypertension	60
High Cholesterol	39
Stroke	3
Ischemic Heart Disease	29
Depression	25
Chronic Kidney Disease	18
Asthma	7
Osteoperosis	24
Atrial Fibrilation	10
Heart Failure	13
Chronic Obstructive Pulmonary Disease	16
Diabetes	20
Dementia	5
Cancer	7

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. David W. Swift, MD treated as a rheumatologist in Grand Island, NE during 2014 were lab tests, blood draw, injections and aspiration.

Volume of procedures performed by Dr. David W. Swift, MD for Medicare patients.

aspiration	430
biological response modifier (BRM) therapy	159
blood draw	845
chemotherapy	159
doctor visit	1435
hospital care	153
injections	522
inpatient care	153
lab tests	3049
minimally invasive procedures	176
musculoskeletal imaging	267
pain management	24
preventive care	32
vaccines	32
vertebral fracture assessment (VFA)	91
X-rays	267

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. David W. Swift, MD.

**Gender**
Male	233
Female	845

**Ethnicity**
Non-Hispanic White	1029
Black	0
Hispanic	23
Asian	0
Other	12
Native American	0

**Age**
From 65 to 74	488
From 75 to 84	310
85 and over	106
Less than 65	174

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2014

Hypertension	60
High Cholesterol	39
Stroke	3
Ischemic Heart Disease	29
Depression	25
Chronic Kidney Disease	18
Asthma	7
Osteoperosis	22
Atrial Fibrilation	13
Heart Failure	14
Chronic Obstructive Pulmonary Disease	14
Diabetes	23
Dementia	5
Cancer	6

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. David W. Swift, MD treated as a rheumatologist in Grand Island, NE during 2015 were lab tests, blood draw, injections and aspiration.

Volume of procedures performed by Dr. David W. Swift, MD for Medicare patients.

aspiration	388
biological response modifier (BRM) therapy	111
blood draw	816
chemotherapy	111
doctor visit	1379
hospital care	125
injections	462
inpatient care	125
lab tests	2900
minimally invasive procedures	209
musculoskeletal imaging	245
pain management	17
preventive care	19
thyroid function tests	32
vaccines	19
vertebral fracture assessment (VFA)	29
X-rays	245

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. David W. Swift, MD.

**Gender**
Male	486
Female	1718

**Ethnicity**
Non-Hispanic White	2094
Black	0
Hispanic	60
Asian	0
Other	22
Native American	0

**Age**
From 65 to 74	1008
From 75 to 84	662
85 and over	204
Less than 65	330

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2015

Hypertension	60
High Cholesterol	40
Stroke	3
Ischemic Heart Disease	27
Depression	24
Chronic Kidney Disease	20
Asthma	10
Osteoperosis	23
Atrial Fibrilation	12
Heart Failure	15
Chronic Obstructive Pulmonary Disease	16
Diabetes	23
Dementia	5
Cancer	7

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. David W. Swift, MD treated as a rheumatologist in Grand Island, NE during 2016 were lab tests, blood draw, injections and aspiration.

Volume of procedures performed by Dr. David W. Swift, MD for Medicare patients.

aspiration	406
biological response modifier (BRM) therapy	52
blood draw	584
chemotherapy	52
doctor visit	1202
hospital care	45
injections	475
inpatient care	45
lab tests	1886
minimally invasive procedures	183
musculoskeletal imaging	340
pain management	21
preventive care	22
vaccines	22
vertebral fracture assessment (VFA)	50
X-rays	340

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. David W. Swift, MD.

**Gender**
Male	264
Female	960

**Ethnicity**
Non-Hispanic White	1159
Black	0
Hispanic	35
Asian	0
Other	14
Native American	0

**Age**
From 65 to 74	583
From 75 to 84	371
85 and over	118
Less than 65	152

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2016

Hypertension	62
High Cholesterol	40
Stroke	2
Ischemic Heart Disease	27
Depression	23
Chronic Kidney Disease	21
Asthma	16
Osteoperosis	23
Atrial Fibrilation	11
Heart Failure	18
Chronic Obstructive Pulmonary Disease	15
Diabetes	21
Dementia	6
Cancer	8

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. David W. Swift, MD treated as a rheumatologist in Grand Island, NE during 2017 were lab tests, X-rays, blood draw and musculoskeletal imaging.

Volume of procedures performed by Dr. David W. Swift, MD for Medicare patients.

aspiration	331
blood draw	521
doctor visit	1062
injections	388
lab tests	1820
minimally invasive procedures	166
musculoskeletal imaging	505
pain management	18
preventive care	22
spinal procedures	26
vaccines	22
vertebral fracture assessment (VFA)	68
X-rays	531

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. David W. Swift, MD.

**Gender**
Male	237
Female	1003

**Ethnicity**
Non-Hispanic White	1177
Black	0
Hispanic	33
Asian	0
Other	15
Native American	0

**Age**
From 65 to 74	601
From 75 to 84	373
85 and over	119
Less than 65	147

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2017

Hypertension	62
High Cholesterol	34
Stroke	2
Ischemic Heart Disease	25
Depression	28
Chronic Kidney Disease	21
Asthma	6
Osteoperosis	27
Atrial Fibrilation	10
Heart Failure	16
Chronic Obstructive Pulmonary Disease	14
Diabetes	22
Dementia	7
Cancer	9

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. David W. Swift, MD treated as a rheumatologist in Grand Island, NE during 2018 were lab tests, blood draw, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. David W. Swift, MD for Medicare patients.

aspiration	319
blood draw	684
doctor visit	1027
injections	355
lab tests	2337
minimally invasive procedures	171
musculoskeletal imaging	591
preventive care	23
spinal procedures	35
vaccines	23
X-rays	626

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. David W. Swift, MD.

**Gender**
Male	256
Female	1090

**Ethnicity**
Non-Hispanic White	1271
Black	0
Hispanic	42
Asian	0
Other	15
Native American	0

**Age**
From 65 to 74	627
From 75 to 84	418
85 and over	144
Less than 65	157

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2018

Hypertension	61
High Cholesterol	42
Stroke	2
Ischemic Heart Disease	25
Depression	24
Chronic Kidney Disease	21
Asthma	5
Osteoperosis	26
Atrial Fibrilation	9
Heart Failure	14
Chronic Obstructive Pulmonary Disease	14
Diabetes	21
Dementia	7
Cancer	8

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. David W. Swift, MD treated as a rheumatologist in Grand Island, NE during 2019 were lab tests, blood draw, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. David W. Swift, MD for Medicare patients.

aspiration	310
blood draw	613
doctor visit	986
injections	359
lab tests	2150
minimally invasive procedures	146
musculoskeletal imaging	368
preventive care	24
spinal procedures	35
vaccines	24
X-rays	403

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. David W. Swift, MD.

**Gender**
Male	249
Female	903

**Ethnicity**
Non-Hispanic White	1073
Black	0
Hispanic	41
Asian	0
Other	19
Native American	0

**Age**
From 65 to 74	552
From 75 to 84	368
85 and over	106
Less than 65	126

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2019

Hypertension	62
High Cholesterol	43
Stroke	3
Ischemic Heart Disease	27
Depression	28
Chronic Kidney Disease	24
Asthma	6
Osteoperosis	25
Atrial Fibrilation	10
Heart Failure	14
Chronic Obstructive Pulmonary Disease	15
Diabetes	21
Dementia	8
Cancer	10

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. David W. Swift, MD treated as a rheumatologist in Grand Island, NE during 2020 were lab tests, injections, aspiration and X-rays.

Volume of procedures performed by Dr. David W. Swift, MD for Medicare patients.

aspiration	296
biological response modifier (BRM) therapy	27
blood draw	237
chemotherapy	27
doctor visit	842
injections	353
lab tests	905
minimally invasive procedures	85
musculoskeletal imaging	263
X-rays	263

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. David W. Swift, MD.

**Gender**
Male	222
Female	771

**Ethnicity**
Non-Hispanic White	939
Black	0
Hispanic	31
Asian	0
Other	12
Native American	0

**Age**
From 65 to 74	463
From 75 to 84	337
85 and over	80
Less than 65	113

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2020

Hypertension	60
High Cholesterol	42
Stroke	3
Ischemic Heart Disease	27
Depression	25
Chronic Kidney Disease	24
Asthma	5
Osteoperosis	25
Atrial Fibrilation	10
Heart Failure	15
Chronic Obstructive Pulmonary Disease	14
Diabetes	21
Dementia	7
Cancer	9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. David W. Swift, MD treated as a rheumatologist in Grand Island, NE during 2021 were injections, X-rays, musculoskeletal imaging and aspiration.

Volume of procedures performed by Dr. David W. Swift, MD for Medicare patients.

aspiration	238
doctor visit	865
injections	284
musculoskeletal imaging	272
X-rays	272

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. David W. Swift, MD.

**Gender**
Male	190
Female	778

**Ethnicity**
Non-Hispanic White	924
Black	0
Hispanic	25
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	452
From 75 to 84	331
85 and over	93
Less than 65	92

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2021

Hypertension	60
High Cholesterol	46
Stroke	3
Ischemic Heart Disease	25
Depression	26
Chronic Kidney Disease	26
Asthma	6
Osteoperosis	31
Atrial Fibrilation	11
Heart Failure	16
Chronic Obstructive Pulmonary Disease	14
Diabetes	20
Dementia	6
Cancer	8

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. David W. Swift, MD treated as a rheumatologist in Grand Island, NE during 2022 were injections, aspiration, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. David W. Swift, MD for Medicare patients.

aspiration	212
doctor visit	765
injections	256
musculoskeletal imaging	200
X-rays	200

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. David W. Swift, MD.

**Gender**
Male	164
Female	652

**Ethnicity**
Non-Hispanic White	782
Black	0
Hispanic	0
Asian	0
Other	15
Native American	0

**Age**
From 65 to 74	391
From 75 to 84	286
85 and over	65
Less than 65	74

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2022

Hypertension	70
High Cholesterol	62
Stroke	6
Ischemic Heart Disease	21
Depression	25
Chronic Kidney Disease	18
Asthma	9
Osteoperosis	35
Atrial Fibrilation	15
Heart Failure	13
Chronic Obstructive Pulmonary Disease	17
Diabetes	19
Dementia	4
Cancer	14

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. David W. Swift, MD for Medicare patients.

The highest averages for the top procedures that Dr. David W. Swift, MD treated as a rheumatologist in Grand Island, NE were lab tests, blood draw, injections and aspiration.

aspiration	418
biological response modifier (BRM) therapy	103
blood draw	653
chemotherapy	103
doctor visit	1157
hospital care	135
injections	490
inpatient care	135
lab tests	2278
minimally invasive procedures	159
musculoskeletal imaging	317
pain management	25
preventive care	27
spinal procedures	27
thyroid function tests	19
vaccines	27
vertebral fracture assessment (VFA)	61
X-rays	326

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. David W. Swift, MD.

**Gender**
Male	228
Female	864

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	1036
Native American / Alaskan Native	0
Hispanic	28
Other	11

**Age**
75 to 84	339
85 and over	103
Less than 65	139
65 to 74	509

Average of Total of Conditions of Medicare patients treated by Dr. David W. Swift, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. David W. Swift, MD treated were hypertension, high cholesterol, depression and ischemic heart disease.

Hypertension	56
High Cholesterol	38
Stroke	2
Ischemic Heart Disease	23
Depression	23
Chronic Kidney Disease	19
Asthma	7
Osteoporosis	23
Heart Failure	13
Chronic Obstructive Pulmonary Disease	13
Diabetes	19
Atrial Fibrillation	10
Dementia	5
Cancer	7

Education & Training

He is certified by the Board Certification: Rheumatology and has a state license in Nebraska.

Board Certification: Board Certification: Rheumatology

Licensed In: Nebraska

Affiliations & Hospitals

Dr. David W. Swift, MD is associated with these hospitals and organizations:

Nebraska Medicine

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Insurance Accepted by Affiliated Medical Group or Hospital:

UnitedHealthcare: Optum VA Community Care Network (CCN)

Blue Cross Blue Shield of Nebraska: BSCSNE Student Blue

Blue Cross Blue Shield of Nebraska: BCBSNE Network Blue

Medicare Advantage: Molina Iowa Medicare Advantage (Beginning Jan. 1, 2026)

Medicaid Iowa: Wellpoint Iowa

Blue Cross Blue Shield of Nebraska: BSCSNE BlueCard PPO

Midlands Choice: Commercial plans

Aetna Healthcare: Aetna High Performance Network (Nebraska Health Network)

Aetna Healthcare: Aetna (Broad Network)

UnitedHealthcare: Medica

Medicaid Nebraska: Nebraska Medicaid

Medicare Advantage: Medica Advantage Solution

Medicare Advantage: HumanaChoice (PPO) Medicare Advantage

Medicaid Nebraska: Molina Nebraska DSNP

Medicare Advantage: BCBSNE Medicare Advantage Choice (HMO-POS)

Nebraska Furniture Mart Employee Plan Tier 1

Medicaid Iowa: Molina Iowa Medicaid

Aetna Healthcare: First Health (except "First Health Professionals Only")

Medicaid Nebraska: Every Woman Matters

Medicaid Nebraska: UnitedHealthcare Community Plan Nebraska

Humana: Humana One PPO

Medicare Advantage: UnitedHealthcare Medicare Advantage

Medica: Medica Commercial

Tricare West: Tricare West for Life

Medicare Advantage: Medica Prime Solution Total Cost Medicare Advantage

Medicare Advantage: Aetna Medicare Premium Advantra (PPO)

Medicare Advantage: WellCare by Nebraska Total Care Medicare Advantage

UnitedHealthcare: United Medical Resources

Ambetter: Ambetter

Medicaid Kansas: Sunflower Health

UnitedHealthcare: UnitedHealthcare

Medicaid Iowa: Iowa Medicaid

MultiPlan: MultiPlan (Does not include PHCS)

Century Health Solutions: Century Health Solutions

UnitedHealthcare: Golden Rule

UnitedHealthcare: NexusACO

Blue Cross Blue Shield of Nebraska: BSCSNE BlueCard HMO (only with suitcase logo)

Medicare: Medicare Part A & B

Medica: Medica Insure

Blue Cross Blue Shield of Nebraska: BCBSNE Federal Plan

Tricare West: Tricare West Prime

Medicare Advantage: Aetna Medicare Premier Advantra (PPO)

Medicare Advantage: BCBSNE Medicare Advantage Core (HMO)

Aetna Healthcare: Aetna Signature Administrators

Wellmark of Iowa: Wellmark Blue HMO

Medicaid Kansas: AmeriGroup Kansas

UnitedHealthcare: Oxford Health

Medicaid Kansas: UnitedHealthcare Community Plan Kansas

Tricare West: Tricare West Active Duty

Medicaid Iowa: Iowa Total Care

Blue Cross Blue Shield of Nebraska: BSCSNE Select Blue

Medicare Advantage: WellCare Iowa Medicare Advantage

Midwest Network Alliance

Medicaid Iowa: Iowa Care for Yourself

Medica: Medica Elevate

Medicare Advantage: Humana Gold (HMO) Medicare Advantage

Medicaid Nebraska: Molina Nebraska Medicaid

University of Nebraska Employee Plan Enhanced Tier

Medicare Advantage: Aetna Medicare Elite Advantra (PPO)

Medicaid Nebraska: Nebraska Total Care

Humana: Humana Choice Care

Ratings & Reviews

Dr. David W. Swift, MD has an exceptional overall rating with an average of 4.91 out of 5 stars based on 450 ratings. We collect ratings and reviews of Dr. David W. Swift, MD from all over the web to help you find the right in Grand Island, NE.

4.91

Overall Rating

(450 Ratings)

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General Payments

These charts describe general payments received by Dr. David W. Swift, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Celgene Corporation	$1,859 Otezla $1,746	$113
Amgen Inc.	$508 Enbrel $391	Prolia $117
Janssen Scientific Affairs, LLC	$383 SIMPONI $324	STELARA $59
UCB, Inc.	$351 Cimzia $351
Pfizer Inc.	$325 XELJANZ $232	LYRICA $27	CELEBREX $19	EMBEDA $18	PREVNAR - 13 $16	Other $13
Other	$2,139 Humira $237	KEVZARA SARILUMAB INJECTION $189	Vesicare $185	REMICADE $131	Actemra $122	Other $1,275

**Types of Payments**
Food and Beverage	$3,976
Consulting Fee	$1,400
Education	$190

Research Payments

Dr. David W. Swift, MD has received 138 research payments totaling $214,617.

Biography

Dr. David Swift is a specialist in adult rheumatology. Dr. Swift is a graduate of Creighton University School of Medicine. His areas of expertise include psoriatic arthritis, lupus, and myositis. He is rated 5.0 stars (out of 5) by his patients. He is professionally affiliated with Nebraska Medicine.

Select Year:

Dr. David W. Swift, MD

Office Locations

Noteworthy Medicare Patient Procedures Performed by Dr. David W. Swift, MD in 2023

By Volume:

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. David W. Swift, MD in 2022

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Average Medicare Patient Data From 2012 - 2022

Average of Total of Conditions of Medicare patients treated by Dr. David W. Swift, MD From 2012 - 2022

Education & Training

Affiliations & Hospitals

Insurance Information

Ratings & Reviews

General Payments

Research Payments

Biography

Other Providers in Grand Island, NE