NPI registry status
Active
2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1235455494 M.D.
Verify on CMS → Michael Sweeney, M.D.
Neurology with Special Qualifications in Child Neurology Physician in Louisville, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,886 in Neurology with Special Qualifications in Child Neurology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
793
Medicare Part D claims · 52 beneficiaries · Neurology with Special Qualifications in Child Neurology Physician avg: 360
Generic prescribing
85%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$12.0K
20 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Michael Sweeney, M.D. filed 793 Medicare Part D claims in 2024 as a Neurology with Special Qualifications in Child Neurology Physician in Louisville, Kentucky, prescribing 85% generic.
- 793
- Part D claims, 2024
- 85%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥70th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Michael Sweeney, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1235455494), first enumerated 04/13/2010.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 793 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$12.0K in reported industry payments (20 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1235455494 · Neurology with Special Qualifications in Child Neurology Physician
NPI-10 · ENUM-MID · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1235455494
- ENUM-MID 2010
- TAX-NARROW 1,886
- RX-LIGHT 793
- BOOK-THIN 19 in Kentucky
- PHOTO-ENUM Vijay Ramaswamy, MD… · 2010
Michael Sweeney, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
793 ≥ 70th percentile 70% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Michael Sweeney, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Michael Sweeney, M.D.?
Quality data not reportedPrimary specialty
Neurology with Special Qualifications in Child Neurology Physician
Medicare Part D claims
793 120% vs specialty avg
Specialty distribution in Kentucky
How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Kentucky providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Neurology with Special Qualifications in Child Neurology Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1235455494 |
|---|---|
| Specialty | Neurology with Special Qualifications in Child Neurology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/13/2010 |
Hospital and facility affiliations
Facilities where Michael Sweeney, M.D. 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.
Community Medical Associates Inc
Louisville, KY
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 Michael Sweeney, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$12.0K
Largest payer
Genentech USA, Inc.
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 · Typical
Michael Sweeney, M.D. - brand share 13.0%
Neurology with Special Qualifications in Child Neurology Physician average
13% brand-name claims vs 85% generic, on 793 2024 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 2024.
793
Total Claims
$1.6M
Total Drug Cost
52
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 978.733
- Total Day Supply
- 28,526
- Brand vs Generic
- 13% brand / 85% generic
- Brand Drug Cost
- $1.4M
- Generic Drug Cost
- $186K
Patient Demographics
- Average Patient Age
- 56.3 years
- Avg HCC Risk Score
- 2.14
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 36, 65-74: N/A, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Michael Sweeney, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Gabapentin
Gabapentin
135 claims
- Baclofen
Baclofen
87 claims
- Modafinil 37
Modafinil
37 claims
- Diazepam 35
Diazepam
35 claims
- Lamotrigine 27
Lamotrigine
27 claims
- Duloxetine Hcl 22
Duloxetine Hcl
22 claims
- Mycophenolate Mofe… 20
Mycophenolate Mofetil
20 claims
- Pregabalin 20
Pregabalin
20 claims
| Drug | Claims |
|---|---|
| Gabapentin | 135 |
| Baclofen | 87 |
| Modafinil | 37 |
| Diazepam | 35 |
| Lamotrigine | 27 |
| Duloxetine Hcl | 22 |
| Mycophenolate Mofetil | 20 |
| Pregabalin | 20 |
| Copaxone Glatiramer Acetate | 19 |
| Tizanidine Hcl | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Neurology with Special Qualifications in Child Neurology Physician in KY →
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Neurology with Special Qualifications in Child Neurology Physician Overview
How Michael Sweeney, M.D. fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.
1,886
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
360
Avg Claims per Provider
Michael Sweeney, M.D.'s 793 claims are above the specialty average of 360.
Nationwide Neurology with Special Qualifications in Child Neurology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Sweeney, both outside Kentucky so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Sweeney.
One of 19 Neurology with Special Qualifications in Child Neurology Physician providers enrolled in Kentucky, 5 are shown here.
Frequently Asked Questions
What is Michael Sweeney, M.D.'s specialty? ▼
Michael Sweeney, M.D. specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in Louisville, Kentucky. Credentials: M.D..
How much does Michael Sweeney, M.D. prescribe under Medicare Part D? ▼
In 2024, Michael Sweeney, M.D. wrote 793 Medicare Part D claims totaling $1.6M in drug costs for 52 beneficiaries.
Where is Michael Sweeney, M.D. located? ▼
Michael Sweeney, M.D. is located at 411 E CHESTNUT ST # STREET6, Louisville, KY, 40202. Phone: (502) 588-3650.
What is Michael Sweeney, M.D.'s NPI number? ▼
Michael Sweeney, M.D.'s National Provider Identifier (NPI) is 1235455494, issued on 04/13/2010.
Does Michael Sweeney, M.D. prescribe more brand-name or generic drugs? ▼
Michael Sweeney, M.D.'s prescribing is 13% brand-name and 85% generic drugs by claim count, with $1.4M in brand drug costs.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US? ▼
There are 1,886 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 360 Medicare Part D claims per year.
What drugs does Michael Sweeney, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Michael Sweeney, M.D.'s most frequently prescribed drugs include Gabapentin, Baclofen, Modafinil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Sweeney, M.D. accept Medicare? ▼
Michael Sweeney, M.D. appears in CMS Medicare data with 793 Part D claims and 52 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Sweeney, M.D.'s credentials? ▼
Michael Sweeney, M.D.'s NPI is 1235455494 with credentials M.D.. 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
View source datasets and methodology notes
- 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.