DR. MADISON SWEET MD
NPI 1790210193
Internal Medicine - Pulmonary Disease in Ventura, CA

Q: What is Madison Sweet's NPI number?

The NPI number for Madison Sweet is 1790210193. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Q: What is Madison Sweet's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Madison Sweet was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 April 24, 2017PECOS EnrolledAccepts Medicare Assignment

168 N BRENT ST STE 406, VENTURA, CA 93003(805) 653-6371 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 7, 2024, Jul 12, 2021, Mar 17, 2021 and 1 more (4 updates tracked since 2017).

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About Dr. Madison Sweet Md NPPES

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

DR. MADISON SWEET MD (NPI 1790210193) is an individual pulmonary disease provider in Ventura, California, licensed in California (A195647) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ventura, and is a graduate of Medical College Of Georgia School Of Medicine (2017).

NPPES Registry Identity

NPI1790210193

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. MADISON SWEETCredential: MD

Location Address168 N BRENT ST STE 406Ventura, CA 93003-2824

Mailing Address350 Connector RdGraniteville, SC 29829-3920

Phone(805) 653-6371

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2017

Enumeration DateApril 24, 2017

Last NPPES UpdateOctober 14, 20254 updates tracked since enumeration

NPPES CertifiedOctober 14, 2025

✔ NPI 1790210193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in CA · A195647✔ Licensed in TX · T9511

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

168 N BRENT ST STE 406, Ventura, CA 93003

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Secondary Practice Location 1

Location 1300 Hillmont AveVentura, CA 93003-1651 · Phone (805) 652-6000

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. Madison Sweet Md 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 ID4284901216

PECOS Enrollment IDI20240722001633

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 11

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

125 services42 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

100 services44 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.

42 services39 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

40 services40 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

29 services28 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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

$140.72 typical visit price

range $62.32 – $185.36

Typical copayment $35.18 (range $15.58 – $46.34)

Most-billed visit code 99204

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

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.

Other Providers at the Same Location NPPES 5

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

IAN JOEL MD

Internal Medicine (Critical Care Medicine)