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KATHLEEN SWEENEY
NPI 1346294709
Family Medicine in Altoona, PA

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
46.78/100
CMS Quality Rating
501 HOWARD AVE, SUITE F2, ALTOONA, PA 16601(814) 889-2701 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Sweeney NPPES

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

KATHLEEN SWEENEY (NPI 1346294709) is an individual family medicine provider in Altoona, Pennsylvania, licensed in Pennsylvania (OS005741L) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Philadelphia College Of Osteopathic Medicine (1984).

NPPES Registry Identity

NPI1346294709
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHLEEN SWEENEY
Location Address501 HOWARD AVE, SUITE F2Altoona, PA 16601-4810
Mailing Address501 Howard Ave, Suite F2Altoona, PA 16601-4810
Phone(814) 889-2701
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1984
Enumeration DateMay 20, 2006
Last NPPES UpdateMarch 25, 2021
✔ NPI 1346294709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS005741L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
501 HOWARD AVE, Altoona, PA 16601
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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

Kathleen Sweeney 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 ID7214063627
PECOS Enrollment IDI20100324001026
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 3

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.
41 services17 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services16 patients

Hospital Affiliations CMS Care Compare

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

46.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality17.39
Improvement Activities40
Cost51.45

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%48 patients3/55-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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$51.16 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.

DR. JAMES ALLEN PRUITT MD
Emergency Medicine
501 HOWARD AVE, F2
ALTOONA, PA 16601
Blair County (480) 825-1256
KOPP PHARMACY
Pharmacist
501 HOWARD AVE, BLDG G
ALTOONA, PA 16601
Blair County (814) 943-0621
BLAIR RENAL ASSOCIATES INC
Internal Medicine (Nephrology)
501 HOWARD AVE, SUITE D204
ALTOONA, PA 16601
Blair County (814) 944-2107
TERESA ROSE PRESTON PA-C
Physician Assistant
501 HOWARD AVE, SUITE B204
ALTOONA, PA 16601
Blair County (814) 889-6111
JENNIFER VARGO SAXION AU.D.
Audiologist
501 HOWARD AVE, D203
ALTOONA, PA 16601
Blair County (814) 946-0721
STANLEY WALTER SRAL JR.
Counselor (Mental Health)
501 HOWARD AVE
ALTOONA, PA 16601
Blair County (814) 889-2141
VERONICA LI MD
Family Medicine
501 HOWARD AVE, SUITE F2
ALTOONA, PA 16601
Blair County (814) 889-2701
SARAH SCHROEDER
Obstetrics & Gynecology
501 HOWARD AVE, ALLEGHENY FAMILY PHYSICIANS
ALTOONA, PA 16601
Blair County (814) 889-2020

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 Kathleen Sweeney's NPI number?

The NPI number for Kathleen Sweeney is 1346294709. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Kathleen Sweeney located?

Kathleen Sweeney practices at 501 Howard Ave Suite F2, Altoona, PA 16601. The listed phone number is (814) 889-2701.

What is Kathleen Sweeney's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kathleen Sweeney enrolled in Medicare?

Yes. Kathleen 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.

Is Kathleen Sweeney affiliated with any hospitals?

According to CMS data, Kathleen Sweeney is affiliated with Upmc Altoona.

When was this NPI record last updated?

The NPPES record for Kathleen Sweeney was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.