TERENCE J. SWEENEY MD
NPI 1285741959
Emergency Medicine in Modesto, CA

Active since August 25, 2006PECOS Enrolled
94.62/100
CMS Quality Rating
1700 COFFEE ROAD, MODESTO, CA 95355(209) 526-4500 Get Directions Write a Review

NPPES record last updated: March 16, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Terence J. Sweeney Md NPPES

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

TERENCE J. SWEENEY MD (NPI 1285741959) is an individual emergency medicine provider in Modesto, California, licensed in California (G53156) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285741959
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTERENCE J. SWEENEYCredential: MD
Location Address1700 COFFEE ROADModesto, CA 95355-2803
Mailing AddressP.o. Box 12020Westminster, CA 92685-2020 · (888) 556-5621
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 16, 2011
NPI 1285741959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · G53156
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.

1700 COFFEE ROAD, Modesto, CA 95355

Other Identifiers 2

Medicare PIN00G531562CA
Medicaid00G531560CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Terence J. 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 4

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.

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.
273 services250 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
256 services246 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.
109 services106 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner
1700 COFFEE ROAD
MODESTO, CA 95355
Anesthesiology
1700 COFFEE ROAD
MODESTO, CA 95355
General Acute Care Hospital (Critical Access)
1700 COFFEE ROAD
MODESTO, CA 95355
Nurse Practitioner (Family)
1700 COFFEE ROAD
MODESTO, CA 95355
Nurse Practitioner
1700 COFFEE ROAD
MODESTO, CA 95355
Emergency Medicine
1700 COFFEE ROAD
MODESTO, CA 95355
Anesthesiology
1700 COFFEE ROAD
MODESTO, CA 95355
Emergency Medicine
1700 COFFEE ROAD
MODESTO, CA 95355

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 Terence Sweeney's NPI number?

The NPI number for Terence Sweeney is 1285741959. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Terence Sweeney located?

Terence Sweeney practices at 1700 Coffee Road, Modesto, CA 95355. The listed phone number is (209) 526-4500.

What is Terence Sweeney's specialty?

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

Is Terence Sweeney enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Terence Sweeney was last updated on March 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.