KEVIN SWEENEY DO
NPI 1568022481
Emergency Medicine in Ephrata, PA

Q: What is Kevin Sweeney's NPI number?

The NPI number for Kevin Sweeney is 1568022481. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Q: What is Kevin Sweeney's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Sweeney was last updated on August 20, 2024. 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.

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment

36.85/100

CMS Quality Rating

169 MARTIN AVE, EPHRATA, PA 17522(717) 738-6420 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 20, 2024, Jun 13, 2023, Jun 13, 2019 (3 updates tracked since 2019).

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About Kevin Sweeney Do NPPES

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

KEVIN SWEENEY DO (NPI 1568022481) is an individual emergency medicine provider in Ephrata, Pennsylvania, licensed in Pennsylvania (OS022169) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Wellspan Ephrata Community Hospital, and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1568022481

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameKEVIN SWEENEYCredential: DO

Location Address169 MARTIN AVEEphrata, PA 17522-1734

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405

Phone(717) 738-6420

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2019

Enumeration DateJune 13, 2019

Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1568022481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in PA · OS022169

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

169 MARTIN AVE, Ephrata, PA 17522

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Secondary Practice Location 1

Location 11001 S George StYork, PA 17403-3676 · Phone (717) 851-2450

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

Kevin Sweeney Do 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 ID8224367172

PECOS Enrollment IDI20220613000403

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

278 services264 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

30 services29 patients

Hospital Affiliations CMS Care Compare

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

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390225

Location169 Martin AvenueEphrata, PA 17522 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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.

36.85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

20.45

Improvement Activities

Cost

60.35

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.

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