THOMAS MATTHEW SWEAT MD
NPI 1992758197
Internal Medicine - Cardiovascular Disease in Louisville, KY

Q: What is Thomas Sweat's NPI number?

The NPI number for Thomas Sweat is 1992758197. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Thomas Sweat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Sweat was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

210 E GRAY ST, SUITE 1002, LOUISVILLE, KY 40202(502) 584-2029(502) 584-0873 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2021, May 29, 2019 (2 updates tracked since 2019).

On this page

About Thomas Matthew Sweat Md NPPES

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

THOMAS MATTHEW SWEAT MD (NPI 1992758197) is an individual cardiovascular disease provider in Louisville, Kentucky, licensed in Kentucky (27422) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of University Of Louisville School Of Medicine (1989).

NPPES Registry Identity

NPI1992758197

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameTHOMAS MATTHEW SWEATCredential: MD

Location Address210 E GRAY ST, SUITE 1002Louisville, KY 40202-3900

Mailing AddressPo Box 950202Louisville, KY 40295-0202 · (502) 272-5100 · Fax (502) 272-5116

Phone(502) 584-2029

Fax(502) 584-0873

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1989

Enumeration DateMay 18, 2006

Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2021

✔ NPI 1992758197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in KY · 27422✔ Licensed in IN · 01045791

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

210 E GRAY ST, Louisville, KY 40202

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Other Identifiers 10

Other000000066041KY · Anthem

Other004236KY · Siho - Cts/ncc

Medicaid1106200KY

Medicaid200094110IN

Medicaid64274228KY

Other2436480000KY · Passport Advantage

Other5734577KY · Cigna - Cts/ncc

Other000057094SKY · Humana - Cts/ncc

Other000000708284KY · Anthem - Cts/ncc

Other50031804KY · Passport/passport Advantage - Cts/ncc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Thomas Matthew Sweat 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 ID8123100518

PECOS Enrollment IDI20100209000082, I20100225000069

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 16

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

513 services418 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.

468 services412 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

324 services317 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.

198 services107 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

170 services160 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

149 services96 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

100 services97 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

93 services91 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.

49 services49 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

29 services29 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

28 services28 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.

17 services16 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

16 services16 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

14 services14 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

13 services13 patients

Blood count, hemoglobin 85018

A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150009

Location1220 Missouri AveJeffersonville, IN 47130 · Clark County

Emergency services Birthing friendly

Ascension St Vincent Salem

Critical Access Hospitals · Salem, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151314

Location911 N Shelby StSalem, IN 47167 · Washington County

Emergency services

Scott Memorial Health

Critical Access Hospitals · Scottsburg, IN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number151334

Location1451 N Gardner StScottsburg, IN 47170 · Scott County

Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

UNIVERSITY OF LOUISIVLLE PHYSICIANS

Pediatrics (Pediatric Infectious Diseases)

210 E GRAY ST, SUITE 802
LOUISVILLE, KY 40202

Jefferson County (502) 852-7733

CYNA KHALILY MD

Orthopaedic Surgery

210 E GRAY ST, SUITE 604
LOUISVILLE, KY 40202

Jefferson County (502) 629-5633

KENTUCKY NEURO ASSOCIATES

Neurological Surgery

210 E GRAY ST, SUITE 1106
LOUISVILLE, KY 40202

Jefferson County (502) 583-1697

JENNA RAYE MONTANO APRN

Nurse Practitioner (Acute Care)

210 E GRAY ST
LOUISVILLE, KY 40202

Jefferson County (502) 559-3636

JEFFREY HOWARD FRANK MD

Psychiatry & Neurology (Neurology)

210 E GRAY ST, SUITE 1003
LOUISVILLE, KY 40202

Jefferson County (502) 629-2602

UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.

Pediatrics (Pediatric Hematology-Oncology)

210 E GRAY ST, SUITE 601A
LOUISVILLE, KY 40202

Jefferson County (502) 588-3600

NEUROSURGICAL INSTITUTE OF KENTUCKY

Neurological Surgery

210 E GRAY ST, SUITE 1105
LOUISVILLE, KY 40202

Jefferson County (502) 583-1697

COMMONWEALTH CARDIOLOGISTS PSC

Internal Medicine (Cardiovascular Disease)

210 E GRAY ST, SUITE 1002
LOUISVILLE, KY 40202

Jefferson County (502) 584-2029

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 Thomas Sweat's NPI number?

The NPI number for Thomas Sweat is 1992758197. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Thomas Sweat located?

Thomas Sweat practices at 210 E Gray St Suite 1002, Louisville, KY 40202. The listed phone number is (502) 584-2029.

What is Thomas Sweat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Sweat enrolled in Medicare?

Yes. Thomas Sweat 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 Thomas Sweat accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Thomas Sweat 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 Thomas Sweat affiliated with any hospitals?

According to CMS data, Thomas Sweat is affiliated with Clark Memorial Hospital, Ascension St Vincent Salem, Scott Memorial Health and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Thomas Sweat was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.