DR. GORDON SWEENEY M.D.
NPI 1194794776
Hospitalist in Saint Helena, CA

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
10 WOODLAND RD, SAINT HELENA, CA 94574(707) 963-6399(707) 697-5915 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2022, Dec 1, 2017, May 30, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Gordon Sweeney M.d. NPPES

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

DR. GORDON SWEENEY M.D. (NPI 1194794776) is an individual hospitalist provider in Saint Helena, California, licensed in California (A73139) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (1998).

NPPES Registry Identity

NPI1194794776
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. GORDON SWEENEYCredential: M.D.
Location Address10 WOODLAND RDSaint Helena, CA 94574-9554
Mailing AddressPo Box 7096Stockton, CA 95267-0096 · (209) 956-7725 · Fax (209) 956-7733
Fax(707) 697-5915
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 1998
Enumeration DateMarch 16, 2006
Last NPPES UpdateMay 25, 20224 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
NPI 1194794776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A73139
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License A73139 (CA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A73139 (CA)
10 WOODLAND RD, Saint Helena, CA 94574

Other Identifiers 1

Medicaid00A731390CA

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

Dr. Gordon 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 ID6305895889
PECOS Enrollment IDI20050121000791
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 13

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.

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.
255 services238 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
248 services174 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
133 services24 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
129 services26 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services57 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
46 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94574 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
$145.99 typical visit price
range $65.08 – $192.16
Typical copayment $36.49 (range $16.27 – $48.04)
Most-billed visit code 99204
Established Patient
$113.15 typical visit price
range $21.86 – $157.83
Typical copayment $28.28 (range $5.46 – $39.45)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%229 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,740 services$1.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Critical Care Medicine)
10 WOODLAND RD
SAINT HELENA, CA 94574
Radiology (Diagnostic Radiology)
10 WOODLAND RD
SAINT HELENA, CA 94574
Perfusionist
10 WOODLAND RD
SAINT HELENA, CA 94574
Emergency Medicine
10 WOODLAND RD
SAINT HELENA, CA 94574
Internal Medicine (Critical Care Medicine)
10 WOODLAND RD
SAINT HELENA, CA 94574
Nurse Practitioner (Family)
10 WOODLAND RD, ICU ROOM 500
SAINT HELENA, CA 94574
Occupational Therapist
10 WOODLAND RD
SAINT HELENA, CA 94574
Preventive Medicine (Public Health & General Preventive Medicine)
10 WOODLAND RD
SAINT HELENA, CA 94574

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 Gordon Sweeney's NPI number?

The NPI number for Gordon Sweeney is 1194794776. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Gordon Sweeney located?

Gordon Sweeney practices at 10 Woodland Rd, Saint Helena, CA 94574. The listed phone number is (707) 963-6399.

What is Gordon Sweeney's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gordon Sweeney enrolled in Medicare?

Yes. Gordon 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.

When was this NPI record last updated?

The NPPES record for Gordon Sweeney was last updated on May 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.