JOHN THOMAS SWEENEY MD
NPI 1427162320
Internal Medicine - Gastroenterology in Winston Salem, NC
About John Thomas Sweeney Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN THOMAS SWEENEY MD (NPI 1427162320) is an individual gastroenterology provider in Winston Salem, North Carolina, licensed in North Carolina (9701612) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
John Thomas Sweeney 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.
Medicare Billing Reassignment
Medicare enrollment records show John Sweeney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Gastroenterology Associates Of The Piedmont PA
- 24 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 11
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Regional Hospital
Acute Care Hospitals · Mount Airy, NCNovant Health Forsyth Medical Center
Acute Care Hospitals · Winston-Salem, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINSTON-SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
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 John Sweeney's NPI number?
The NPI number for John Sweeney is 1427162320. It was assigned to this individual provider in the NPPES registry on August 18, 2006.
Where is John Sweeney located?
John Sweeney practices at 1901 S Hawthorne Rd Suite 310, Winston Salem, NC 27103. The listed phone number is (336) 448-2427.
What is John Sweeney's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is John Sweeney enrolled in Medicare?
Yes. John 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 organization bills Medicare for John Sweeney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Sweeney reassigns Medicare benefits to Gastroenterology Associates Of The Piedmont, P.A. (Winston Salem, NC). The 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 John Sweeney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Sweeney accept?
Health plans from UnitedHealthcare list John 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 John Sweeney affiliated with any hospitals?
According to CMS data, John Sweeney is affiliated with Northern Regional Hospital and Novant Health Forsyth Medical Center.
When was this NPI record last updated?
The NPPES record for John Sweeney was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# John Thomas Sweeney, MD · NPI 1427162320
Gastroenterology physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1427162320 (Entity type: Individual)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 9701612 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 S HAWTHORNE RD, SUITE 310, Winston Salem, NC 27103-3921
- **Phone:** (336) 448-2427 · **Fax:** (336) 765-2869
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gastroenterology Associates Of The Piedmont, P.A. (NPI 1336585561, Winston Salem, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jc Edwards School Of Medicine, Marshall University, class of 1995
## Record status
- **NPPES last updated:** November 27, 2023
- **Other identifiers:** Medicaid 89-13272 (NC); Other 13272
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Source: [NPI Profile](https://npiprofile.com/npi/1427162320) · Data from the CMS NPPES public registry.