DONALD J. MCSWEYN M.D.
NPI 1013973288
Internal Medicine - Cardiovascular Disease in Kansas City, KS

Q: What is Donald Mcsweyn's NPI number?

The NPI number for Donald Mcsweyn is 1013973288. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Donald Mcsweyn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Mcsweyn was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment

75.97/100

CMS Quality Rating

8919 PARALLEL PKWY, SUITE 580, KANSAS CITY, KS 66112(913) 596-7224(913) 596-7257 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2021, Oct 22, 2020, Feb 11, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Donald J. Mcsweyn M.d. NPPES

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

DONALD J. MCSWEYN M.D. (NPI 1013973288) is an individual cardiovascular disease provider in Kansas City, Kansas, licensed in Kansas (0421585) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Saint John Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013973288

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDONALD J. MCSWEYNCredential: M.D.

Location Address8919 PARALLEL PKWY, SUITE 580Kansas City, KS 66112-1636

Mailing Address8919 Parallel Pkwy Ste 580Kansas City, KS 66112-1655 · (913) 596-7224 · Fax (913) 596-7257

Phone(913) 596-7224

Fax(913) 596-7257

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1985

Enumeration DateApril 25, 2006

Last NPPES UpdateOctober 2, 20254 updates tracked since enumeration

NPPES CertifiedOctober 2, 2025

✔ NPI 1013973288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in KS · 0421585✔ Licensed in WI · 51270-020

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 51270-020 (WI), 0421585 (KS)

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 51270-020 (WI)

8919 PARALLEL PKWY, Kansas City, KS 66112

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13550 S 4th St Ste 115Leavenworth, KS 66048-5061 · Phone (913) 596-7224

Location 23550 S 4th St Ste 200Leavenworth, KS 66048-5009 · Phone (913) 680-6442 · Fax (913) 351-1346

Other Identifiers 3

Medicaid34983600WI

OtherDQ2452MO · Medicare Railroad Carrier Ptan

OtherP00855578KS · Medicare Railroad Carrier Ptan

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

Donald J. Mcsweyn M.d. 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 ID2961397880

PECOS Enrollment IDI20050919000813

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 Reassignment

Medicare enrollment records show Donald Mcsweyn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prime Healthcare Physician Services - Providence Inc

9.0 mi

General Practice

16663 MIDLAND DR STE 100
Shawnee, KS 66217

Reassigned Medicare billing, Kansas enrollment
128 clinicians in this Medicare group

NPI 1356683213 (913) 631-2600

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 20

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

717 services560 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.

530 services233 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

271 services265 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

158 services68 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

75 services23 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

67 services17 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

66 services17 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

62 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

59 services54 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

57 services57 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

57 services57 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

53 services15 patients

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.

52 services42 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

50 services50 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

36 services23 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

29 services29 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.

28 services28 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services23 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

16 services16 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Saint John Hospital

Acute Care Hospitals · Leavenworth, KS

OwnershipVoluntary non-profit - Other

CMS Certification Number170009

Location3500 South 4th StreetLeavenworth, KS 66048 · Leavenworth County

Emergency services

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

Providence Medical Center

Acute Care Hospitals · Kansas City, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170146

Location8929 Parallel ParkwayKansas City, KS 66112 · Wyandotte County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66112 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

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.

75.97/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

59.12

Promoting Interoperability

Improvement Activities

Cost

61.61

Other Providers at the Same Location NPPES 20

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

STEVEN D. PENDLETON DDS PA

Dentist (General Practice)

8919 PARALLEL PKWY, STE 309
KANSAS CITY, KS 66112

Wyandotte County (913) 299-0704

JAMES S APPELBAUM MD

Psychiatry & Neurology (Neurology)

8919 PARALLEL PKWY, SUITE 440
KANSAS CITY, KS 66112

Wyandotte County (913) 596-7286

DR. TIMOTHY T TAYLOR D.D.S

Dentist

8919 PARALLEL PKWY, SUITE 219
KANSAS CITY, KS 66112

Wyandotte County (913) 334-1161

MARLEY MCCORMICK ATC

Specialist/Technologist (Athletic Trainer)

8919 PARALLEL PKWY, STE 270
KANSAS CITY, KS 66112

Wyandotte County (913) 526-5742

SIGNATURE MEDICAL GROUP OF KC, PA

Durable Medical Equipment & Medical Supplies

8919 PARALLEL PKWY, SUITE 550
KANSAS CITY, KS 66112

Wyandotte County (913) 788-7111

BRIAN R STEPHENS O.D.

Optometrist

8919 PARALLEL PKWY, STE 226
KANSAS CITY, KS 66112

Wyandotte County (913) 299-8800

LIVING WATER FAMILY CARE

Family Medicine

8919 PARALLEL PKWY, SUITE 331
KANSAS CITY, KS 66112

Wyandotte County (913) 788-2125

ORTHOKC PROFESSIONAL ASSOCIATION

Physical Medicine & Rehabilitation

8919 PARALLEL PKWY, SUITE 270
KANSAS CITY, KS 66112

Wyandotte County (913) 788-7111

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 Donald Mcsweyn's NPI number?

The NPI number for Donald Mcsweyn is 1013973288. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Donald Mcsweyn located?

Donald Mcsweyn practices at 8919 Parallel Pkwy Suite 580, Kansas City, KS 66112. The listed phone number is (913) 596-7224.

What is Donald Mcsweyn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Donald Mcsweyn enrolled in Medicare?

Yes. Donald Mcsweyn 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 organization bills Medicare for Donald Mcsweyn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Mcsweyn reassigns Medicare benefits to Prime Healthcare Physician Services - Providence Inc (Shawnee, KS). The 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 Donald Mcsweyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Mcsweyn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 3 other insurers list Donald Mcsweyn 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 Donald Mcsweyn affiliated with any hospitals?

According to CMS data, Donald Mcsweyn is affiliated with Saint John Hospital, University Of Kansas Hospital and Providence Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Mcsweyn was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.