DR. RICHARD ALEXANDER SWEET II M.D.
NPI 1821357773
Orthopaedic Surgery in Louisville, KY

Active since May 13, 2012PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
4130 DUTCHMANS LN STE 300, LOUISVILLE, KY 40207(502) 897-1794 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2022, Oct 9, 2019, Apr 24, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Richard Alexander Sweet Ii M.d. NPPES

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

DR. RICHARD ALEXANDER SWEET II M.D. (NPI 1821357773) is an individual orthopaedic surgery provider in Louisville, Kentucky, licensed in Kentucky (51146) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821357773
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. RICHARD ALEXANDER SWEET IICredential: M.D.
Location Address4130 DUTCHMANS LN STE 300Louisville, KY 40207-4710
Mailing Address4130 Dutchmans Ln Ste 300Louisville, KY 40207-4710 · (502) 897-1794
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2012
Enumeration DateMay 13, 2012
Last NPPES UpdateMay 2, 20224 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
NPI 1821357773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in KY · 51146 Licensed in MA · 269727
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4130 DUTCHMANS LN STE 300, Louisville, KY 40207

Secondary Practice Locations 2

Location 13605 Northgate CtNew Albany, IN 47150-6400 · Phone (502) 897-1794 · Fax (502) 897-3852
Location 24130 Dutchmans Ln Ste 200Louisville, KY 40207-4709 · Phone (502) 897-1794 · Fax (606) 897-3852

Other Identifiers 2

Medicaid300014079IN
Medicaid7100533610KY

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. Richard Alexander Sweet Ii 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 ID6204108764
PECOS Enrollment IDI20180608001398, I20180614001348
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 28

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,063 services290 patients
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
1,151 services16 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
572 services467 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
539 services129 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
462 services319 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
390 services98 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.45
Promoting Interoperability93
Improvement Activities40

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.05%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers26 claims26 services$40.22 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$11.31 avg. paid by Medicare
Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier30 claims30 services$86.96 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 15

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

Physician Assistant
4130 DUTCHMANS LN STE 300
LOUISVILLE, KY 40207
Nurse Practitioner
4130 DUTCHMANS LN STE 300
LOUISVILLE, KY 40207
Orthopaedic Surgery
4130 DUTCHMANS LN STE 300
LOUISVILLE, KY 40207
Nurse Practitioner
4130 DUTCHMANS LN STE 300
LOUISVILLE, KY 40207
Orthopaedic Surgery
4130 DUTCHMANS LN STE 300
LOUISVILLE, KY 40207
Physician Assistant
4130 DUTCHMANS LN STE 300
LOUISVILLE, KY 40207
Orthopaedic Surgery (Sports Medicine)
4130 DUTCHMANS LN STE 300
LOUISVILLE, KY 40207
Neurological Surgery
4130 DUTCHMANS LN STE 300
LOUISVILLE, KY 40207

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 Richard Sweet's NPI number?

The NPI number for Richard Sweet is 1821357773. It was assigned to this individual provider in the NPPES registry on May 13, 2012.

Where is Richard Sweet located?

Richard Sweet practices at 4130 Dutchmans Ln Ste 300, Louisville, KY 40207. The listed phone number is (502) 897-1794.

What is Richard Sweet's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Richard Sweet enrolled in Medicare?

Yes. Richard 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 Richard Sweet accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Richard 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.

Is Richard Sweet affiliated with any hospitals?

According to CMS data, Richard Sweet is affiliated with Baptist Health Floyd, Baptist Health Hardin, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Richard Sweet was last updated on May 2, 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.