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MICHAEL THOMAS SWEENEY M.D.
NPI 1578773487
Emergency Medicine in Lexington, KY

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 SOUTH LIMESTONE, UNIVERSITY OF KENTUCKY DEPARTMENT OF EMERGENCY MEDICINE, LEXINGTON, KY 40536(859) 323-5908 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michael Thomas Sweeney M.d. NPPES

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

MICHAEL THOMAS SWEENEY M.D. (NPI 1578773487) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (47625) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2005).

NPPES Registry Identity

NPI1578773487
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL THOMAS SWEENEYCredential: M.D.
Location Address1000 SOUTH LIMESTONE, UNIVERSITY OF KENTUCKY DEPARTMENT OF EMERGENCY MEDICINELexington, KY 40536
Mailing Address1000 South Limestone, University Of Kentucky Department Of Emergency MedicineLexington, KY 40536
Phone(859) 323-5908
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2005
Enumeration DateMay 23, 2007
Last NPPES UpdateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
✔ NPI 1578773487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KY · 47625
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.
Also ListedHospitalistTaxonomy 208M00000X · License 47625 (KY)
1000 SOUTH LIMESTONE, Lexington, KY 40536
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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

Michael Thomas Sweeney M.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 ID749468106
PECOS Enrollment IDI20140910001739
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.

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.
274 services271 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.
131 services127 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

CARTER COMISFORD PHARMD, RPH
Pharmacist
1000 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 207-1000
KYRSTEN NITZ
Student in an Organized Health Care Education/Training Program
1000 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5860
JOY LOLITA COLES DNP, APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
1000 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-0295
BLAKE DIPAOLA
Student in an Organized Health Care Education/Training Program
1000 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 257-1000
ALEX KIDWELL MS, RD, LD, CLC
Dietitian, Registered
1000 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 486-8655
MATTHEW HALL RRT
Respiratory Therapist, Registered
1000 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 257-1000
ANTHONY JORDAN LOONEY APRN
Nurse Practitioner (Acute Care)
1000 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-9057
SARAH MICHELE BANKS
Student in an Organized Health Care Education/Training Program
1000 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5000

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 Michael Sweeney's NPI number?

The NPI number for Michael Sweeney is 1578773487. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Michael Sweeney located?

Michael Sweeney practices at 1000 South Limestone University Of Kentucky Department Of Emergency Medicine, Lexington, KY 40536. The listed phone number is (859) 323-5908.

What is Michael Sweeney's specialty?

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

Is Michael Sweeney enrolled in Medicare?

Yes. Michael 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.

Is Michael Sweeney affiliated with any hospitals?

According to CMS data, Michael Sweeney is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Michael Sweeney was last updated on August 14, 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.