DR. GENE SWEETNAM O.D.
NPI 1972560241
Optometrist in Burke, VA
About Dr. Gene Sweetnam O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GENE SWEETNAM O.D. (NPI 1972560241) is an individual optometrist in Burke, Virginia, licensed in Virginia (0618000626) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1992).
NPPES Registry Identity
Specialties & Licenses
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Other Identifiers 3
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. Gene Sweetnam O.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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22015 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gene Sweetnam's NPI number?
The NPI number for Gene Sweetnam is 1972560241. It was assigned to this individual provider in the NPPES registry on April 28, 2006.
Where is Gene Sweetnam located?
Gene Sweetnam practices at 5204A Rolling Rd Burke Professional Center, Burke, VA 22015. The listed phone number is (703) 425-2000.
What is Gene Sweetnam's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Gene Sweetnam enrolled in Medicare?
Yes. Gene Sweetnam 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 Gene Sweetnam accept?
Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Gene Sweetnam 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 Gene Sweetnam was last updated on November 23, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.
