PHILIP M SWEETSER MD
NPI 1356378558
Urology in Minneapolis, MN

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
82.64/100
CMS Quality Rating
701 PARK AVE, O9, MINNEAPOLIS, MN 55415(612) 873-2811 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip M Sweetser Md NPPES

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

PHILIP M SWEETSER MD (NPI 1356378558) is an individual urology provider in Minneapolis, Minnesota, licensed in Minnesota (45139) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (1986).

NPPES Registry Identity

NPI1356378558
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NamePHILIP M SWEETSERCredential: MD
Location Address701 PARK AVE, O9Minneapolis, MN 55415-1623
Mailing Address15310 Skyview CirMinnetonka, MN 55345-2035
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1986
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1356378558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MN · 45139
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
701 PARK AVE, Minneapolis, MN 55415

Other Identifiers 3

Medicare UPINF78601
Medicaid176238900MN
Medicare ID-Type Unspecified340000739MN

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

Philip M Sweetser 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 ID6507997947
PECOS Enrollment IDI20100628001009
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.

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.
51 services37 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.
43 services37 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
30 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

82.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.21
Promoting Interoperability99
Improvement Activities40
Cost51.14

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.

Psychiatry & Neurology (Psychiatry)
701 PARK AVE
MINNEAPOLIS, MN 55415
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Dentist (Oral and Maxillofacial Surgery)
701 PARK AVE
MINNEAPOLIS, MN 55415
Counselor (Professional)
701 PARK AVE
MINNEAPOLIS, MN 55415
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415

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 Philip Sweetser's NPI number?

The NPI number for Philip Sweetser is 1356378558. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Philip Sweetser located?

Philip Sweetser practices at 701 Park Ave O9, Minneapolis, MN 55415. The listed phone number is (612) 873-2811.

What is Philip Sweetser's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Philip Sweetser enrolled in Medicare?

Yes. Philip Sweetser 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 Philip Sweetser accept?

Health plans from Medica list Philip Sweetser 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 Philip Sweetser affiliated with any hospitals?

According to CMS data, Philip Sweetser is affiliated with Sanford Bemidji Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Sweetser was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.