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CATHERINE L SWEENEY MD
NPI 1649699067
Pediatrics in Fort Atkinson, WI

Active since April 14, 2014PECOS Enrolled
500 MCMILLEN ST, FORT ATKINSON, WI 53538(920) 563-5571(920) 563-7705 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 13, 2017 and 1 more (4 updates tracked since 2017).

About Catherine L Sweeney Md NPPES

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

CATHERINE L SWEENEY MD (NPI 1649699067) is an individual pediatrics provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (67802-20) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1649699067
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCATHERINE L SWEENEYCredential: MD
Location Address500 MCMILLEN STFort Atkinson, WI 53538-1233
Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (920) 568-5411 · Fax (920) 568-4004
Phone(920) 563-5571
Fax(920) 563-7705
Sole ProprietorNo
Enumeration DateApril 14, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1649699067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 67802-20
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
500 MCMILLEN ST, Fort Atkinson, WI 53538
Open in Google Maps ↗

Secondary Practice Location 1

Location 14502 Medical DrSan Antonio, TX 78229-4402 · Phone (210) 358-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Catherine L Sweeney Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Catherine Sweeney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fort Healthcare, Inc.
0.3 mi
General Acute Care Hospital
611 SHERMAN AVE E
Fort Atkinson, WI 53538
  • Reassigned Medicare billing, Wisconsin enrollment
  • 298 clinicians in this Medicare group
NPI 1811916281 (920) 568-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53538 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 8

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

CRAIG SWEENEY LPC-IT
Counselor (Professional)
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 222-0154
AKM ABUHIYA MD
Pediatrics
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-5571
MELANIE KOLLMANSBERGER
Social Worker
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-5571
MRS. LAURA KOENIG M.D.
Internal Medicine
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-5571
HERBERT TURNER WENTZIEN LPC
Counselor (Professional)
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (319) 325-7276
INTERNAL MEDICINE & PEDIATRICS, S.C.
Pediatrics
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-7711
WILLIAM J CANNON MD
Internal Medicine
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-5571
LEEANN KINNEY LPC
Counselor (Mental Health)
500 MCMILLEN ST
FORT ATKINSON, WI 53538
Jefferson County (920) 563-9542

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 Catherine Sweeney's NPI number?

The NPI number for Catherine Sweeney is 1649699067. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Catherine Sweeney located?

Catherine Sweeney practices at 500 Mcmillen St, Fort Atkinson, WI 53538. The listed phone number is (920) 563-5571.

What is Catherine Sweeney's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Catherine Sweeney enrolled in Medicare?

Yes. Catherine Sweeney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Catherine Sweeney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Sweeney reassigns Medicare benefits to Fort Healthcare, Inc. (Fort Atkinson, WI). 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 Catherine Sweeney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catherine Sweeney accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, MercyCare and MercyCare Health Plans and 1 other insurer list Catherine 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 Catherine Sweeney was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.