Madison Sweet, MD
NPI 1790210193 · Pulmonary Disease Physician · Ventura, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madison Sweet, MD is a Pulmonary Disease Physician provider in Ventura, CA (NPI 1790210193).
Provider details
- NPI number
- 1790210193
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- T9511 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
439 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 125 | $214 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 100 | $120 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 42 | $137 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 40 | $233 |
| Test to Measure Rate of Airflow94375 | 29 | $43 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 26 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 44 | 23 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 17 | — |
| Fluticasone Propionate | 13 | — |
| Montelukast Sodium | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$26 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 300 Hillmont AveVentura, CA 93003-1651Phone: (805) 652-6000
Registry dates
- Enumerated
- 2017-04-24
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Frequently asked questions
- What is Madison Sweet's NPI number?
- Madison Sweet's National Provider Identifier (NPI) is 1790210193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madison Sweet's specialty?
- Madison Sweet is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Madison Sweet located?
- Madison Sweet's practice location on file with NPPES is 168 N Brent St Ste 406, Ventura, CA 93003-2824.
- What is Madison Sweet's phone number?
- The practice phone number listed in the NPPES registry for Madison Sweet is (805) 653-6371.
- Does Madison Sweet accept Medicare?
- Madison Sweet is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madison Sweet's NPI active?
- Yes — Madison Sweet's NPI (1790210193) is active in the NPPES registry as of the last update on 2025-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.