DR. WILLIAM E SWEET M.D.
NPI 1427052315
Family Medicine in Hopkinsville, KY
NPI Status: Active since June 08, 2005
Contact Information
1102 S VIRGINIA ST
HOPKINSVILLE, KY
ZIP 42240
Phone: (270) 890-0440
Fax: (270) 890-0449
- Individual
- Male
- Family Medicine
- Medicare Quality Reporting
About WILLIAM SWEET
This page provides the complete NPI Profile along with additional information for William Sweet, a primary care provider established in Hopkinsville, Kentucky with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1427052315 assigned on June 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 27126 (KY). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1427052315
- Provider Name
- DR. WILLIAM E SWEET M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1102 S VIRGINIA ST HOPKINSVILLE, KY 42240
- Location Phone
- (270) 890-0440
- Location Fax
- (270) 890-0449
- Mailing Address
- 1102 S VIRGINIA ST HOPKINSVILLE, KY 42240
- Mailing Phone
- (270) 890-0440
- Mailing Fax
- (270) 890-0449
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-08-2005
- Last Update Date
- 11-03-2014
- Code Navigator
A primary care provider (PCP) like William Sweet sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 27126
- License State
- KY
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C36676 | MEDICARE UPIN (02) | ||
| 000000065195 | OTHER (01) | KY | ANTHEM BCBS ID NUMBER |
| 64271265 | MEDICAID (05) | KY |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Colorectal Cancer Screening | 44% | 452 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
| Diabetes: Medical Attention for Nephropathy | 96% | 220 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
| Documentation of Current Medications in the Medical Record | 99% | 3923 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 89% | 191 |
| Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD); OR - Adults aged >=21 years who have ever had a fasting or direct low-density lipoprotein cholesterol (LDL-C) level >= 190 mg/dL; OR - Adults aged 40-75 years with a diagnosis of diabetes with a fasting or direct LDL-C level of 70-189 mg/dL | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1427052315, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
HOPKINSVILLE, KY 42240
HOPKINSVILLE, KY 42240
HOPKINSVILLE, KY 42240
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427052315, enumerated as an "individual" on June 08, 2005.
The provider is located at 1102 S VIRGINIA ST HOPKINSVILLE, KY 42240 and the phone number is (270) 890-0440.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.
