DR. ADAM JAMES SWEENEY O.D.
NPI 1487961967
Optometrist in Charlottesville, VA

Active since September 07, 2010PECOS EnrolledAccepts Medicare Assignment
630 PETER JEFFERSON PKWY, SUITE 180, CHARLOTTESVILLE, VA 22911(434) 817-5280 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Adam James Sweeney O.d. NPPES

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

DR. ADAM JAMES SWEENEY O.D. (NPI 1487961967) is an individual optometrist in Charlottesville, Virginia, licensed in Virginia (0618002226) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charlottesville, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1487961967
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ADAM JAMES SWEENEYCredential: O.D.
Location Address630 PETER JEFFERSON PKWY, SUITE 180Charlottesville, VA 22911-8605
Mailing Address630 Peter Jefferson Pkwy, Suite 180Charlottesville, VA 22911-8605
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 7, 2010
Last NPPES UpdateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
NPI 1487961967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in VA · 0618002226 Licensed in FL · OPC4525
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
630 PETER JEFFERSON PKWY, Charlottesville, VA 22911

Secondary Practice Location 1

Location 1600 Peter Jefferson PkwyCharlottesville, VA 22911-8835 · Phone (434) 975-2420 · Fax (434) 975-0200

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

Dr. Adam James Sweeney O.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 ID2264627355
PECOS Enrollment IDI20211011003157
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 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.
56 services53 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
630 PETER JEFFERSON PKWY, SUITE 135
CHARLOTTESVILLE, VA 22911
Ophthalmology
630 PETER JEFFERSON PKWY, SUITE 140
CHARLOTTESVILLE, VA 22911
Clinic/Center
630 PETER JEFFERSON PKWY, STE. 180
CHARLOTTESVILLE, VA 22911
Urology
630 PETER JEFFERSON PKWY, SUITE 135
CHARLOTTESVILLE, VA 22911
Pain Medicine (Interventional Pain Medicine)
630 PETER JEFFERSON PKWY, SUITE 170
CHARLOTTESVILLE, VA 22911
Physical Medicine & Rehabilitation
630 PETER JEFFERSON PKWY
CHARLOTTESVILLE, VA 22911
Ophthalmology
630 PETER JEFFERSON PKWY, SUITE 140
CHARLOTTESVILLE, VA 22911

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 Adam Sweeney's NPI number?

The NPI number for Adam Sweeney is 1487961967. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Where is Adam Sweeney located?

Adam Sweeney practices at 630 Peter Jefferson Pkwy Suite 180, Charlottesville, VA 22911. The listed phone number is (434) 817-5280.

What is Adam Sweeney's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Adam Sweeney enrolled in Medicare?

Yes. Adam 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.

What insurance does Adam Sweeney accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Adam 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.

When was this NPI record last updated?

The NPPES record for Adam Sweeney was last updated on October 25, 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.