TERRANCE J SWEENEY M.D.
NPI 1265433114
General Practice in Great Falls, MT
NPI Status: Active since August 02, 2005
Contact Information
1400 29TH ST S
GREAT FALLS, MT
ZIP 59405
Phone: (406) 454-2171
Fax: (406) 771-3021
- Individual
- Male
- General Practice
- PECOS Enrolled
- Medicare Quality Reporting
About TERRANCE SWEENEY
This page provides the complete NPI Profile along with additional information for Terrance Sweeney, a primary care provider established in Great Falls, Montana with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1265433114 assigned on August 2005. The practitioner's primary taxonomy code is 208D00000X with license number 5351 (MT). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1265433114
- Provider Name
- TERRANCE J SWEENEY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1400 29TH ST S GREAT FALLS, MT 59405
- Location Phone
- (406) 454-2171
- Location Fax
- (406) 771-3021
- Mailing Address
- 1400 29TH ST S GREAT FALLS, MT 59405
- Mailing Phone
- (406) 454-2171
- Mailing Fax
- (406) 771-3021
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-02-2005
- Last Update Date
- 08-16-2013
- Code Navigator
A primary care provider (PCP) like Terrance Sweeney sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5351
- License State
- MT
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0052793 | MEDICAID (05) | MT | |
| D83222 | MEDICARE UPIN (02) | ||
| M000009222 | MEDICARE PIN (08) | MT |
Medicare Participation & PECOS Enrollment Status
Terrance Sweeney is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 58% | 571 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Colorectal Cancer Screening | 45% | 1040 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Documentation of Current Medications in the Medical Record | 99% | 3072 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 84% | 3716 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 98% | 63 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 69% | 3255 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 58% | 803 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 90% | 416 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 96% | 3255 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 13% | 3255 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 4 | 3 | 3 | 1 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 8 | 3 | 6 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 8 + 3 + 6 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1265433114 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184625048 | NANCY J MAYNARD MD Individual | Pediatrics | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1073514956 | FRANCIS J HANDWERK MD Individual | Obstetrics & Gynecology | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1851392732 | RAYMOND A GEYER DO Individual | Internal Medicine (Infectious Disease) | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1760483648 | JERROLD M EICHNER MD Individual | Pediatrics (Pediatric Pulmonology) | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1114928090 | STEVEN P AKRE MD Individual | Internal Medicine (Rheumatology) | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1023019908 | JAMES H ASTHALTER DO Individual | Family Medicine | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1851392708 | MALINDA A PIKE MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1073514931 | COLLEEN M MARRON MD Individual | Pediatrics | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1518968486 | THOMAS J KRAJACICH PHD Individual | Clinical Neuropsychologist | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1053312926 | ELISABETH A LINCOLN CRNP Individual | Nurse Practitioner (Pediatrics) | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1427059328 | SANDRA C HACKFORD RD Individual | Dietitian, Registered | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1477554350 | PETER L BURLEIGH MD Individual | Obstetrics & Gynecology (Gynecology) | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1467453340 | LORI G CLIFTON CCC/SLP Individual | Speech-Language Pathologist | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1508867375 | TONY J LENZ MD Individual | Internal Medicine | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1184625899 | MARY LOU PAULICK PT Individual | Physical Therapist (Pediatrics) | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1427059138 | FREDERICK G MILLER JR. DO Individual | Internal Medicine | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1932100567 | ROBERT J MCCLURE MD Individual | Obstetrics & Gynecology (Gynecology) | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1588656516 | THOMAS G TRIEHY DO Individual | Family Medicine | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1659364651 | JOHN J MAZUR M.D. Individual | Internal Medicine (Pulmonary Disease) | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
| 1932194750 | LIBBY A LAKE MD Individual | Family Medicine | 1400 29TH ST S GREAT FALLS, MT 59405 (406) 454-2171 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265433114, enumerated in the NPI registry as an "individual" on August 02, 2005
The provider is located at 1400 29th St S Great Falls, Mt 59405 and the phone number is (406) 454-2171
The provider's speciality is General Practice with taxonomy code 208D00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
This NPI record was last updated on August 02, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.