PAUL W SWEENEY MD
NPI 1073583522
Internal Medicine - Cardiovascular Disease in Scarborough, ME

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
96 CAMPUS DR, SUITE 1, SCARBOROUGH, ME 04074(207) 885-9905(207) 396-5600 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul W Sweeney Md NPPES

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

PAUL W SWEENEY MD (NPI 1073583522) is an individual cardiovascular disease provider in Scarborough, Maine, licensed in Maine (MD10226) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of Massachusetts Medical School (1975).

NPPES Registry Identity

NPI1073583522
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePAUL W SWEENEYCredential: MD
Location Address96 CAMPUS DR, SUITE 1Scarborough, ME 04074-7133
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Fax(207) 396-5600
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1975
Enumeration DateJanuary 26, 2006
Last NPPES UpdateDecember 3, 2012
NPI 1073583522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in ME · MD10226
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.
96 CAMPUS DR, Scarborough, ME 04074

Other Identifiers 10

Medicare PINP00642340ME
Medicaid280350099ME
Medicare PIN015629ME
Medicare PIN01562903ME
Medicare PIN060048703ME
Medicare PINMM9957ME
Medicare PIN01562901ME
Medicare PIN01562902ME
Medicare PINP01092884ME
Medicare UPIND03702ME

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

Paul W 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 ID5597659219
PECOS Enrollment IDI20040214000089
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 10

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 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.
321 services274 patients
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.
316 services273 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.
162 services90 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
47 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
46 services45 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.
40 services39 patients

Hospital Affiliations CMS Care Compare 5

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Registered Nurse
96 CAMPUS DR
SCARBOROUGH, ME 04074
Nurse Practitioner (Family)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Family Medicine
96 CAMPUS DR
SCARBOROUGH, ME 04074

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 Paul Sweeney's NPI number?

The NPI number for Paul Sweeney is 1073583522. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Paul Sweeney located?

Paul Sweeney practices at 96 Campus Dr Suite 1, Scarborough, ME 04074. The listed phone number is (207) 885-9905.

What is Paul Sweeney's specialty?

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

Is Paul Sweeney enrolled in Medicare?

Yes. Paul 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 Paul Sweeney accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Paul 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 Paul Sweeney affiliated with any hospitals?

According to CMS data, Paul Sweeney is affiliated with Maine Medical Center, St Mary's Regional Medical Center, Maine General Medical Center, Stephens Memorial Hospital and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Paul Sweeney was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.