2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1235455494 M.D.
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MICHAEL SWEENEY, M.D.

Neurology with Special Qualifications in Child Neurology Physician in LOUISVILLE, Kentucky. 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
607
Medicare Part D claims · 42 beneficiaries · Neurology with Special Qualifications in Child Neurology Physician avg: 359
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$12.0K
20 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL SWEENEY, M.D. is a Neurology with Special Qualifications in Child Neurology Physician ([object Object]) practicing in LOUISVILLE, Kentucky with a Medicare Part D prescribing footprint of 607 claims across 42 beneficiaries — 18% brand-name prescribing . Industry payments of $12.0K across 20 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL SWEENEY, M.D. filed 607 Medicare Part D claims in 2023 across LOUISVILLE, Kentucky. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

MICHAEL SWEENEY, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/13/2010

NPI 1235455494

Primary specialty

Neurology with Special Qualifications in Child Neurology Physician

Niche

1,803 US NPIs in this specialty

Medicare Part D claims

607 69% vs specialty avg

2023 prescription claims

Specialty avg: 359

Specialty distribution in Kentucky

How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Kentucky providers

Kentucky providers

Neurology with Special Qualifications in Child Neurology Physician share within Kentucky

1. Neurology with Special Qualifications in Child Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology with Special Qualifications in Child Neurology Physician share within Kentucky

Specialty board-certification context

Estimated specialty board-certified rate — Neurology with Special Qualifications in Child Neurology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Neurology with Special Qualifications in Child Neurology Physician ABMS/AOA estimate

Est. board-certified rate (Neurology with Special Qualifications in Child Neurology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Neurology with Special Qualifications in Child Neurology Physician) — ABMS / AOA estimate

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).

MICHAEL SWEENEY, M.D. is a Neurology with Special Qualifications in Child Neurology Physician provider practicing in LOUISVILLE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1235455494. 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.

MICHAEL SWEENEY, M.D. appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding M.D. credentials at 411 E CHESTNUT ST # STREET6, LOUISVILLE, KY, 40202, with a listed phone of (502) 588-3650. NPI 1235455494 was issued on 04/13/2010. 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 607 prescription claims written by this provider, covering 42 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 18% brand-name and 82% generic by claim count. 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.

Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 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

411 E CHESTNUT ST # STREET6
LOUISVILLE, KY 40202

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 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 607 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.

607
Total Claims
$1.1M
Total Drug Cost
42
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
698
Total Day Supply
20,248
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$952K
Generic Drug Cost
$135K

Patient Demographics

Average Patient Age
54.7 years
Avg HCC Risk Score
1.86
Gender Split
71% female / 29% male
Age Distribution
<65: 31, 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 2023. Based on Medicare Part D data only.

Drug Claims
Gabapentin
96
Baclofen
54
Duloxetine Hcl
33
Modafinil
32
Diazepam
27
Phenobarbital
24
Glatiramer Acetate
23
Tizanidine Hcl
17
Pregabalin
14
Carbamazepine
13

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

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.

1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider

MICHAEL SWEENEY, M.D.'s 607 claims are above the specialty average of 359.

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.

Compare Neurology with Special Qualifications in Child Neurology Physician nationally: see state-by-state distribution →

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 2023, MICHAEL SWEENEY, M.D. wrote 607 Medicare Part D claims totaling $1.1M in drug costs for 42 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 18% brand-name and 82% generic drugs by claim count, with $952K in brand drug costs.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US?
There are 1,803 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 359 Medicare Part D claims per year.
What drugs does MICHAEL SWEENEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL SWEENEY, M.D.'s most frequently prescribed drugs include Gabapentin, Baclofen, Duloxetine Hcl. 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 607 Part D claims and 42 Medicare beneficiaries in 2023. 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

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.
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