CHARLES W SWEENEY M.D.
NPI 1306819206
Emergency Medicine in Marathon, FL

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
3301 OVERSEAS HWY, MARATHON, FL 33050(305) 743-5533(305) 289-0630 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles W Sweeney M.d. NPPES

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

CHARLES W SWEENEY M.D. (NPI 1306819206) is an individual emergency medicine provider in Marathon, Florida, licensed in Florida (ME59785) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Lower Keys Medical Center, and is a graduate of University Of South Florida College Of Medicine (1988).

NPPES Registry Identity

NPI1306819206
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCHARLES W SWEENEYCredential: M.D.
Location Address3301 OVERSEAS HWYMarathon, FL 33050-2329
Mailing AddressPo Box 403208Atlanta, GA 30384-3208 · (800) 377-8721 · Fax (304) 523-2241
Fax(305) 289-0630
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1988
Enumeration DateFebruary 10, 2006
Last NPPES UpdateSeptember 28, 2016
✔ NPI 1306819206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME59785
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.
3301 OVERSEAS HWY, Marathon, FL 33050

Other Identifiers 3

Medicare ID-Type Unspecified14341AFL
Other14341FL · Bcbs
Medicare UPINE57094

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles W 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 ID6800861626
PECOS Enrollment IDI20041018000322
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Charles Sweeney reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Services
5900 COLLEGE RD
Key West, FL 33040
  • Reassigned Medicare billing, Florida enrollment
  • 36 clinicians in this Medicare group
Emergency Medicine
8300 COLLIER BLVD
Naples, FL 34114
  • Reassigned Medicare billing, Florida enrollment
  • 59 clinicians in this Medicare group
Emergency Medicine
540 THE RIALTO
Venice, FL 34285
  • Reassigned Medicare billing, Florida enrollment
  • 98 clinicians in this Medicare group
Emergency Medicine
6945 CYPRESS GARDENS BLVD
Winter Haven, FL 33884
  • Reassigned Medicare billing, Florida enrollment
  • 98 clinicians in this Medicare group
Emergency Medicine
250 N WICKHAM RD
Melbourne, FL 32935
  • Reassigned Medicare billing, Florida enrollment
  • 54 clinicians in this Medicare group
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
228 services206 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.
186 services172 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
40 services40 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.
39 services38 patients

Hospital Affiliations CMS Care Compare

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

Lower Keys Medical Center

Acute Care Hospitals · Key West, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100150
Location5900 College RoadKey West, FL 33040 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33050 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

Radiology (Diagnostic Radiology)
3301 OVERSEAS HWY, FISHERMEN'S HOSPITAL
MARATHON, FL 33050
Anesthesiology
3301 OVERSEAS HWY
MARATHON, FL 33050
Anesthesiology
3301 OVERSEAS HWY
MARATHON, FL 33050
Emergency Medicine
3301 OVERSEAS HWY
MARATHON, FL 33050
Emergency Medicine
3301 OVERSEAS HWY
MARATHON, FL 33050
General Acute Care Hospital (Critical Access)
3301 OVERSEAS HWY
MARATHON, FL 33050
Anesthesiology
3301 OVERSEAS HWY
MARATHON, FL 33050
Emergency Medicine
3301 OVERSEAS HWY
MARATHON, FL 33050

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 Charles Sweeney's NPI number?

The NPI number for Charles Sweeney is 1306819206. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Charles Sweeney located?

Charles Sweeney practices at 3301 Overseas Hwy, Marathon, FL 33050. The listed phone number is (305) 743-5533.

What is Charles Sweeney's specialty?

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

Is Charles Sweeney enrolled in Medicare?

Yes. Charles 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.

Which organizations bill Medicare for Charles Sweeney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Sweeney reassigns Medicare benefits to 7 organizations: Md4er LLC (Key West, FL), Integrated Emergency Medicine Specialists LLC (Naples, FL), Ies Florida PLLC (Venice, FL), Ridgewood Emergency Group, LLC (Winter Haven, FL), Melbourne Emergency Group, LLC (Melbourne, FL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Sweeney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Sweeney accept?

Health plans from Cigna Healthcare, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Charles 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 Charles Sweeney affiliated with any hospitals?

According to CMS data, Charles Sweeney is affiliated with Lower Keys Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Sweeney was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.