Mary Ellen Sweeney, M.D.
NPI 1053426551 · Endocrinology, Diabetes & Metabolism Physician · Decatur, GA
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Ellen Sweeney, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Decatur, GA (NPI 1053426551).
Provider details
- NPI number
- 1053426551
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 025837 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
712 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 477 | $115 |
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument82962 | 126 | $3 |
| Hemoglobin A1c Level83036 | 67 | $9 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 23 | $169 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 19 | $85 |
Typical Medicare-allowed amounts for these services range $3–$169 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 54 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 344 | 112 |
| Empagliflozinbrand: Jardiance | 252 | 69 |
| Levothyroxine Sodiumbrand: Synthroid | 192 | 48 |
| Metformin Hcl | 181 | 54 |
| Tirzepatidebrand: Mounjaro | 167 | 34 |
| Semaglutidebrand: Ozempic | 160 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mary Ellen Sweeney's NPI number?
- Mary Ellen Sweeney's National Provider Identifier (NPI) is 1053426551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Ellen Sweeney's specialty?
- Mary Ellen Sweeney is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Ellen Sweeney located?
- Mary Ellen Sweeney's practice location on file with NPPES is 1670 Clairmont Rd # -111, Decatur, GA 30033-4004.
- What is Mary Ellen Sweeney's phone number?
- The practice phone number listed in the NPPES registry for Mary Ellen Sweeney is (404) 321-6111.
- Does Mary Ellen Sweeney accept Medicare?
- Mary Ellen Sweeney is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Ellen Sweeney's NPI active?
- Yes — Mary Ellen Sweeney's NPI (1053426551) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.