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DR. KYLE ROBERT SWEENEY MD
NPI 1013208305
Orthopaedic Surgery in Kansas City, KS

Active since April 21, 2011PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
3901 RAINBOW BLVD # MS 3017, KANSAS CITY, KS 66160(913) 588-8263 Get Directions Write a Review

NPPES record last updated: June 5, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2017, May 14, 2016 (2 updates tracked since 2016).

About Dr. Kyle Robert Sweeney Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLE ROBERT SWEENEY MD (NPI 1013208305) is an individual orthopaedic surgery provider in Kansas City, Kansas, licensed in Illinois (036139762) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Vanderbilt University School Of Medicine (2007).

NPPES Registry Identity

NPI1013208305
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KYLE ROBERT SWEENEYCredential: MD
Location Address3901 RAINBOW BLVD # MS 3017Kansas City, KS 66160-1447
Mailing Address3901 Rainbow Blvd # Ms 3017Kansas City, KS 66160-8500
Phone(913) 588-8263
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2007
Enumeration DateApril 21, 2011
Last NPPES UpdateJune 5, 20172 updates tracked since enumeration
✔ NPI 1013208305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 036139762
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3901 RAINBOW BLVD # MS 3017, Kansas City, KS 66160
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kyle Robert Sweeney Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052600327
PECOS Enrollment IDI20170828001352, I20230721001387
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kyle Sweeney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kansas University Physicians Inc
0.6 mi
Obstetrics & Gynecology
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 2,139 clinicians in this Medicare group
NPI 1053457978 (913) 588-1227
University Of Kansas Hospital Authority
0.6 mi
Multi-Specialty
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas enrollment
  • 323 clinicians in this Medicare group
NPI 1528019502 (913) 588-1227

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
126 services103 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
68 services68 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services31 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
22 services21 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260006
Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County
Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM A. TUCKER M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
3901 RAINBOW BLVD # MS 3017
KANSAS CITY, KS 66160
Wyandotte County (251) 753-1987
DAVID JOSEPH FISCHER MD
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD # MS 3017
KANSAS CITY, KS 66160
Wyandotte County (913) 588-0575
REED GRIFFIN CODA
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD # MS 3017
KANSAS CITY, KS 66160
Wyandotte County (913) 588-0575
DR. TANNER REID STUMPE MD
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD # MS 3017
KANSAS CITY, KS 66160
Wyandotte County (913) 588-0575
LATARSHA TAYLOR
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD # MS 3017
KANSAS CITY, KS 66160
Wyandotte County (913) 588-0575
JOSEPH WAHL DO
Orthopaedic Surgery
3901 RAINBOW BLVD # MS 3017
KANSAS CITY, KS 66160
Wyandotte County (913) 588-0575
JACOB WILLIAM SVEUM MD
Orthopaedic Surgery
3901 RAINBOW BLVD # MS 3017
KANSAS CITY, KS 66160
Wyandotte County (913) 588-0575
KATHRYN BESSERMAN
Orthopaedic Surgery
3901 RAINBOW BLVD # MS 3017
KANSAS CITY, KS 66160
Wyandotte County (913) 580-0575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Sweeney's NPI number?

The NPI number for Kyle Sweeney is 1013208305. It was assigned to this individual provider in the NPPES registry on April 21, 2011.

Where is Kyle Sweeney located?

Kyle Sweeney practices at 3901 Rainbow Blvd # Ms 3017, Kansas City, KS 66160. The listed phone number is (913) 588-8263.

What is Kyle Sweeney's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kyle Sweeney enrolled in Medicare?

Yes. Kyle Sweeney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kyle Sweeney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Sweeney reassigns Medicare benefits to 2 organizations: Kansas University Physicians Inc (Kansas City, KS) and University Of Kansas Hospital Authority (Kansas City, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Sweeney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Sweeney accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas City and 3 other insurers list Kyle Sweeney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kyle Sweeney affiliated with any hospitals?

According to CMS data, Kyle Sweeney is affiliated with University Of Kansas Hospital, Adventhealth Shawnee Mission, Mosaic Life Care At St Joseph, Boone Hospital Center and North Kansas City Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Sweeney was last updated on June 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.