2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1275761348 D.O.
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CRAIG SWEENEY, D.O.

Pain Medicine (Anesthesiology) Physician in GREAT FALLS, Montana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 309 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.2607/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$105.56
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CRAIG SWEENEY, D.O. is a Pain Medicine (Anesthesiology) Physician ([object Object]) practicing in GREAT FALLS, Montana with a Medicare Part D prescribing footprint of 2K claims across 309 beneficiaries — 1% brand-name prescribing . Their CMS MIPS Final Score of 87.2607/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $105.56 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CRAIG SWEENEY, D.O. reported a CMS MIPS final score of 87.2607 out of 100, above the 83.1 national average, and filed 2,246 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

CRAIG SWEENEY, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

CRAIG SWEENEY, D.O. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/29/2009

NPI 1275761348

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

2,246 36% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

MIPS final score

87.2607/100 4.160700000000006% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Montana

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Montana providers

Montana providers

Pain Medicine (Anesthesiology) Physician share within Montana

1. Pain Medicine (Anesthesiology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Anesthesiology) Physician share within Montana

Medicare quality performance — MIPS

CRAIG SWEENEY, D.O.'s 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

High performer (top quartile)
MIPS Final Score
87.2607/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Anesthesiology) Physician) — 87.2607/100 vs national avg 83.1

0%100%National avg83%87.3%
MIPS final score (Pain Medicine (Anesthesiology) Physician) — 87.2607/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CRAIG SWEENEY, D.O. is a Pain Medicine (Anesthesiology) Physician provider practicing in GREAT FALLS, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1275761348. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CRAIG SWEENEY, D.O. appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding D.O. credentials at 3000 15TH AVE S, GREAT FALLS, MT, 59405, with a listed phone of (406) 454-2171. NPI 1275761348 was issued on 06/29/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SWEENEY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,246 prescription claims written by this provider, covering 309 Medicare beneficiaries and totaling roughly $75K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 31.8%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.2607/100 for the 2023 performance year (Quality 82.973), compared with the national average of 83.1.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3000 15TH AVE S
GREAT FALLS, MT 59405

Provider Details

NPI 1275761348
Specialty Pain Medicine (Anesthesiology) Physician
Credentials D.O.
Gender Male
NPI Issued 06/29/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

87.2607
Final Score
Avg: 83.1
82.973
Quality
85.9138
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where CRAIG SWEENEY, D.O. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CMSC LLC
GREAT FALLS, MT
GREAT FALLS CLINIC LLC
GREAT FALLS, MT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for CRAIG SWEENEY, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$106

Largest payer

Abbott Laboratories

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

CRAIG SWEENEY, D.O. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 2,246 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,246
Total Claims
$75K
Total Drug Cost
309
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,760
Total Day Supply
80,094
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$10K
Generic Drug Cost
$65K
Opioid Claims
714 (31.8% rate)

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
1.18
Gender Split
65% female / 35% male
Age Distribution
<65: 55, 65-74: 130, 75-84: 93, 85+: 31

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Gabapentin
472
Pregabalin
353
Tramadol Hcl
313
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
207
Meloxicam
166
Celecoxib
114
Duloxetine Hcl
75
Tizanidine Hcl
63
Buprenorphine
58
Methocarbamol
42

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pain Medicine (Anesthesiology) Physician Overview

How CRAIG SWEENEY, D.O. fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

CRAIG SWEENEY, D.O.'s 2,246 claims are above the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in Montana

Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as SWEENEY.

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CRAIG SWEENEY, D.O.'s specialty?
CRAIG SWEENEY, D.O. specializes in Pain Medicine (Anesthesiology) Physician and practices in GREAT FALLS, Montana. Credentials: D.O..
How much does CRAIG SWEENEY, D.O. prescribe under Medicare Part D?
In 2023, CRAIG SWEENEY, D.O. wrote 2,246 Medicare Part D claims totaling $75K in drug costs for 309 beneficiaries.
What is CRAIG SWEENEY, D.O.'s Medicare quality score?
CRAIG SWEENEY, D.O. has a CMS MIPS Final Score of 87.2607/100 (Quality: 82.973). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CRAIG SWEENEY, D.O. located?
CRAIG SWEENEY, D.O. is located at 3000 15TH AVE S, GREAT FALLS, MT, 59405. Phone: (406) 454-2171.
What is CRAIG SWEENEY, D.O.'s NPI number?
CRAIG SWEENEY, D.O.'s National Provider Identifier (NPI) is 1275761348, issued on 06/29/2009.
Does CRAIG SWEENEY, D.O. prescribe more brand-name or generic drugs?
CRAIG SWEENEY, D.O.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $10K in brand drug costs.
Does CRAIG SWEENEY, D.O. prescribe opioids?
Yes, CRAIG SWEENEY, D.O. had 714 opioid claims in 2023 with an opioid prescribing rate of 31.8%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does CRAIG SWEENEY, D.O. prescribe most often?
Based on 2023 Medicare Part D data, CRAIG SWEENEY, D.O.'s most frequently prescribed drugs include Gabapentin, Pregabalin, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CRAIG SWEENEY, D.O. accept Medicare?
CRAIG SWEENEY, D.O. appears in CMS Medicare data with 2,246 Part D claims and 309 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRAIG SWEENEY, D.O.'s credentials?
CRAIG SWEENEY, D.O.'s NPI is 1275761348 with credentials D.O.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology