Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADAM SWEENEY M.D.
NPI 1023436896
Ophthalmology in Honolulu, HI

Active since March 31, 2014PECOS Enrolled
94.18/100
CMS Quality Rating
1380 LUSITANA ST STE 708, HONOLULU, HI 96813(808) 599-4755(808) 599-5397 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 18, 2026, Apr 24, 2020, Jul 18, 2018 (3 updates tracked since 2018).

About Adam Sweeney M.d. NPPES

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

ADAM SWEENEY M.D. (NPI 1023436896) is an individual ophthalmology provider in Honolulu, Hawaii, licensed in Texas (R7122) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of University Of Washington School Of Medicine (2014).

NPPES Registry Identity

NPI1023436896
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameADAM SWEENEYCredential: M.D.
Location Address1380 LUSITANA ST STE 708Honolulu, HI 96813-2443
Mailing Address1380 Lusitana St Ste 708Honolulu, HI 96813-2443 · (808) 599-4755 · Fax (808) 599-5397
Fax(808) 599-5397
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2014
Enumeration DateMarch 31, 2014
Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
NPI 1023436896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · R7122
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedInternal MedicineTaxonomy 207R00000X · License MDRE.ML.60469848 (WA)
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License MD-20920 (HI)
1380 LUSITANA ST STE 708, Honolulu, HI 96813

Other Identifiers 1

Medicaid800638HI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Adam Sweeney 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 ID2264747443
PECOS Enrollment IDI20200804000288
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.

Areas of Expertise CMS Part B claims 26

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
1,311 services16 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
960 services424 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.
705 services420 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
673 services488 patients
Injection, midazolam hydrochloride, per 1 mg J2250
Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).
344 services168 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.
317 services317 patients

Hospital Affiliations CMS Care Compare

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

94.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.28
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%539 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
0%942 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
1%2,730 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%1,510 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 707 patients
0%707 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,131 patients
Patients totalRate: 0% · 1,131 patients
0%1,131 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1380 LUSITANA ST STE 708
HONOLULU, HI 96813

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 Adam Sweeney's NPI number?

The NPI number for Adam Sweeney is 1023436896. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Adam Sweeney located?

Adam Sweeney practices at 1380 Lusitana St Ste 708, Honolulu, HI 96813. The listed phone number is (808) 599-4755.

What is Adam Sweeney's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Adam Sweeney enrolled in Medicare?

Yes. Adam 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.

What insurance does Adam Sweeney accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Adam 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 Adam Sweeney affiliated with any hospitals?

According to CMS data, Adam Sweeney is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Sweeney was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.