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DR. CRAIG D SWEENEY MD
NPI 1033201470
Emergency Medicine in Willimantic, CT

Active since September 29, 2006PECOS Enrolled
84.47/100
CMS Quality Rating
1703 MAIN ST, WILLIMANTIC, CT 06226(860) 456-1252 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Craig D Sweeney Md NPPES

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

DR. CRAIG D SWEENEY MD (NPI 1033201470) is an individual emergency medicine provider in Willimantic, Connecticut, licensed in Connecticut (026993) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033201470
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CRAIG D SWEENEYCredential: MD
Location Address1703 MAIN STWillimantic, CT 06226-1162
Mailing Address1290 Silas Deane Hwy, Hhc Cvo EnrollmentWethersfield, CT 06109-4337 · (860) 972-6970
Phone(860) 456-1252
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateOctober 17, 2019
✔ NPI 1033201470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CT · 026993
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1703 MAIN ST, Willimantic, CT 06226
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Other Identifiers 1

Other026993CT · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Craig D Sweeney Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
33 services33 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06226 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 4

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

DR. EDWARD STANLEY SAWICKI MD
Internal Medicine
1703 MAIN ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-1781
DR. MICHAEL A KILGANNON M.D.
Internal Medicine
1703 MAIN ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-1252
MED EAST ASSOCIATES LLC
Internal Medicine
1703 MAIN ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-1252
RUBY LYNN QUINIT MOORE MD
Internal Medicine
1703 MAIN ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-7252

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 Craig Sweeney's NPI number?

The NPI number for Craig Sweeney is 1033201470. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Craig Sweeney located?

Craig Sweeney practices at 1703 Main St, Willimantic, CT 06226. The listed phone number is (860) 456-1252.

What is Craig Sweeney's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Craig Sweeney enrolled in Medicare?

Yes. Craig Sweeney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Craig Sweeney was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.