DR. JUSTIN MICHAEL SWEENEY M.D.
NPI 1689871998
Neurological Surgery in Saint Louis, MO
About Dr. Justin Michael Sweeney M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUSTIN MICHAEL SWEENEY M.D. (NPI 1689871998) is an individual neurological surgery provider in Saint Louis, Missouri, licensed in Missouri (2013002837) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Saint Louis University School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
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. Justin Michael 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.
Areas of Expertise CMS Part B claims 6
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital St Louis
Acute Care Hospitals · Saint Louis, MOMercy Hospital Jefferson
Acute Care Hospitals · Festus, MOMercy Hospital Washington
Acute Care Hospitals · Washington, MOMercy Hospital South
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63141 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
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 Justin Sweeney's NPI number?
The NPI number for Justin Sweeney is 1689871998. It was assigned to this individual provider in the NPPES registry on June 29, 2007.
Where is Justin Sweeney located?
Justin Sweeney practices at 621 S New Ballas Rd Suite 297A, Saint Louis, MO 63141. The listed phone number is (314) 251-6364.
What is Justin Sweeney's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Justin Sweeney enrolled in Medicare?
Yes. Justin 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 Justin Sweeney accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Justin 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 Justin Sweeney affiliated with any hospitals?
According to CMS data, Justin Sweeney is affiliated with Mercy Hospital St Louis, Mercy Hospital Jefferson, Mercy Hospital Washington and Mercy Hospital South.
When was this NPI record last updated?
The NPPES record for Justin Sweeney was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.