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DENISE LORA SWEENEY MEDICAL DOCTOR
NPI 1841267960
Obstetrics & Gynecology in Granite Bay, CA

Active since March 07, 2006Opted out of Medicare · through Dec 14, 2026
92.12/100
CMS Quality Rating
6049 DOUGLAS BLVD STE 9, GRANITE BAY, CA 95746(916) 872-1172(855) 435-3153 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Denise Lora Sweeney Medical Doctor NPPES

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

DENISE LORA SWEENEY MEDICAL DOCTOR (NPI 1841267960) is an individual obstetrics & gynecology provider in Granite Bay, California, licensed in California (A79640) and active in the NPI registry since March 2006. She has opted out of Medicare through December 14, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841267960
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDENISE LORA SWEENEYCredential: MEDICAL DOCTOR
Location Address6049 DOUGLAS BLVD STE 9Granite Bay, CA 95746-6249
Mailing Address6049 Douglas Blvd Ste 9Granite Bay, CA 95746-6249 · (916) 872-1172 · Fax (916) 872-1177
Phone(916) 872-1172
Fax(855) 435-3153
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1841267960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A79640
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6049 DOUGLAS BLVD STE 9, Granite Bay, CA 95746
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Denise Lora Sweeney Medical Doctor has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 14, 2024 through December 14, 2026.

Opt-Out Effective DateDecember 14, 2024
Opt-Out In Effect ThroughDecember 14, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 2

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.

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.
89 services81 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 95746 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

92.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost73.74

Other Providers at the Same Location NPPES

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

DR. BABAN MAHAL DDS
Dentist (General Practice)
6049 DOUGLAS BLVD STE 9
GRANITE BAY, CA 95746
Placer County (916) 800-5001

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 Denise Sweeney's NPI number?

The NPI number for Denise Sweeney is 1841267960. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Denise Sweeney located?

Denise Sweeney practices at 6049 Douglas Blvd Ste 9, Granite Bay, CA 95746. The listed phone number is (916) 872-1172.

What is Denise Sweeney's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Denise Sweeney enrolled in Medicare?

No. Denise Sweeney has opted out of Medicare through December 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Denise Sweeney was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.