THOMAS J SWEENEY MD
NPI 1093711103
Internal Medicine - Medical Oncology in Columbus, OH

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
82.56/100
CMS Quality Rating
810 JASONWAY AVE STE A, COLUMBUS, OH 43214(614) 442-3130(614) 442-3145 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2024, Jun 16, 2021 (2 updates tracked since 2021).

About Thomas J Sweeney Md NPPES

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

THOMAS J SWEENEY MD (NPI 1093711103) is an individual medical oncology provider in Columbus, Ohio, licensed in Ohio (35.076326) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093711103
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameTHOMAS J SWEENEYCredential: MD
Location Address810 JASONWAY AVE STE AColumbus, OH 43214-4359
Mailing Address810 Jasonway Ave Ste AColumbus, OH 43214-4359 · (614) 442-3130 · Fax (614) 442-3150
Fax(614) 442-3145
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1992
Enumeration DateJune 23, 2005
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1093711103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in OH · 35.076326
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

810 JASONWAY AVE STE A, Columbus, OH 43214

Secondary Practice Locations 2

Location 1300 Polaris Pkwy Ste 330Westerville, OH 43082-7989 · Phone (614) 442-3130 · Fax (614) 442-3145
Location 26700 Perimeter DrDublin, OH 43016-8063 · Phone (614) 442-3130 · Fax (614) 442-3145

Other Identifiers 1

Medicaid2131286OH

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

Thomas J 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 ID547311169
PECOS Enrollment IDI20090622000441
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 25

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, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
7,603 services12 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
4,500 services17 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.
640 services216 patients
Injection, granisetron hydrochloride, 100 mcg J1626
Granisetron hydrochloride is an anti-nausea medication given by injection. It helps prevent nausea and vomiting often caused by cancer treatments like chemotherapy. Its dosage is measured in micrograms (mcg).
640 services13 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
570 services25 patients
Injection, palonosetron hcl, 25 mcg J2469
Palonosetron HCL is an injection used to prevent nausea and vomiting caused by chemotherapy. It works by blocking a natural substance (serotonin) in the body that can cause vomiting. This helps improve your comfort during cancer treatment.
340 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

82.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.42
Promoting Interoperability100
Improvement Activities40
Cost55.35

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
3%79 patients1/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%2,958 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
67%416 patients3/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
91%590 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain
2%199 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
33%542 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%1,302 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
75%674 patients4/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 91% · 567 patients
96%567 patients
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
66%542 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
34%542 patients2/55-star benchmark: 77%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
27%125 patients2/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 703 patients
19%703 patients1/55-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 20

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

Internal Medicine (Medical Oncology)
810 JASONWAY AVE STE A
COLUMBUS, OH 43214
Internal Medicine (Hematology & Oncology)
810 JASONWAY AVE STE A
COLUMBUS, OH 43214
Nurse Practitioner
810 JASONWAY AVE STE A
COLUMBUS, OH 43214
Nurse Practitioner
810 JASONWAY AVE STE A
COLUMBUS, OH 43214
Internal Medicine (Hematology & Oncology)
810 JASONWAY AVE STE A
COLUMBUS, OH 43214
Internal Medicine (Hematology & Oncology)
810 JASONWAY AVE STE A
COLUMBUS, OH 43214
Pharmacist
810 JASONWAY AVE STE A
COLUMBUS, OH 43214
Nurse Practitioner
810 JASONWAY AVE STE A
COLUMBUS, OH 43214

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 Thomas Sweeney's NPI number?

The NPI number for Thomas Sweeney is 1093711103. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Thomas Sweeney located?

Thomas Sweeney practices at 810 Jasonway Ave Ste A, Columbus, OH 43214. The listed phone number is (614) 442-3130.

What is Thomas Sweeney's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Thomas Sweeney enrolled in Medicare?

Yes. Thomas 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 Thomas Sweeney accept?

Health plans from CareSource, MedMutual and UnitedHealthcare list Thomas 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 Thomas Sweeney affiliated with any hospitals?

According to CMS data, Thomas Sweeney is affiliated with Riverside Methodist Hospital, Grant Medical Center, Doctors Hospital, Grady Memorial Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Sweeney was last updated on August 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.