JAMES M SWEET M.D.
NPI 1760429781
Internal Medicine - Allergy & Immunology in Tualatin, OR

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
77.31/100
CMS Quality Rating
19185 SW 90TH AVE, TUALATIN, OR 97062(800) 813-2000 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James M Sweet M.d. NPPES

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

JAMES M SWEET M.D. (NPI 1760429781) is an individual allergy & immunology provider in Tualatin, Oregon, licensed in Oregon (MD170999) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Salem, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1983).

NPPES Registry Identity

NPI1760429781
Entity TypeIndividualMale
Primary Taxonomy207RA0201X
Provider Legal NameJAMES M SWEETCredential: M.D.
Location Address19185 SW 90TH AVETualatin, OR 97062-7558
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000 · Fax (855) 524-5255
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1983
Enumeration DateMay 31, 2006
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1760429781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
Licenses Licensed in OR · MD170999 Licensed in HI · MD5594
Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

19185 SW 90TH AVE, Tualatin, OR 97062

Secondary Practice Location 1

Location 11793 13th St SESalem, OR 97302-2541 · Phone (503) 362-8385 · Fax (503) 362-8435

Other Identifiers 3

OtherA3471-8HI · Hmsa Id
Medicaid031283-01HI
Other201472000HI · Owcp Id

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

James M Sweet 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 ID2567485543
PECOS Enrollment IDI20150505002658, I20251106005212
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 5

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,075 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
80 services80 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services48 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
42 services33 patients
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.
24 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97062 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

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.

77.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.04
Promoting Interoperability76
Improvement Activities40
Cost59.33

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier12 claims48 services$18.28 avg. paid by Medicare
Injection, immune globulin (xembify), 100 mg J1558
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims2,880 services$10.70 avg. paid by Medicare
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg J1568
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims910 services$32.89 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
2 suppliers17 claims69 services$2.36 avg. paid by Medicare
Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052
Treatment-Chemotherapy · category RH012N
1 supplier13 claims13 services$309.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
19185 SW 90TH AVE
TUALATIN, OR 97062
Social Worker (Clinical)
19185 SW 90TH AVE
TUALATIN, OR 97062
Physician Assistant (Medical)
19185 SW 90TH AVE
TUALATIN, OR 97062
Counselor (Mental Health)
19185 SW 90TH AVE
TUALATIN, OR 97062
Physician Assistant (Medical)
19185 SW 90TH AVE
TUALATIN, OR 97062
Physical Therapist
19185 SW 90TH AVE
TUALATIN, OR 97062
Speech-Language Pathologist
19185 SW 90TH AVE
TUALATIN, OR 97062
Counselor (Addiction (Substance Use Disorder))
19185 SW 90TH AVE
TUALATIN, OR 97062

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 James Sweet's NPI number?

The NPI number for James Sweet is 1760429781. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is James Sweet located?

James Sweet practices at 19185 SW 90th Ave, Tualatin, OR 97062. The listed phone number is (800) 813-2000.

What is James Sweet's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is James Sweet enrolled in Medicare?

Yes. James Sweet 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 James Sweet accept?

Health plans from Providence Health Plan list James Sweet 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 James Sweet was last updated on October 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.