MONICA K SULLIVAN MD
NPI 1023257086
Family Medicine in Ft Wright, KY

Q: What is Monica Sullivan's NPI number?

The NPI number for Monica Sullivan is 1023257086. It was assigned to this individual provider in the NPPES registry on February 16, 2009.

Q: What is Monica Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Monica Sullivan was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 16, 2009PECOS Enrolled

1955 DIXIE HWY STE N, FT WRIGHT, KY 41011(859) 341-6255(859) 547-1197 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 28, 2023, May 6, 2022, Oct 28, 2020 and 3 more (6 updates tracked since 2016).

On this page

About Monica K Sullivan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONICA K SULLIVAN MD (NPI 1023257086) is an individual family medicine provider in Ft Wright, Kentucky, licensed in Kentucky (43346) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023257086

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMONICA K SULLIVANCredential: MD

Location Address1955 DIXIE HWY STE NFt Wright, KY 41011-2792

Mailing Address1955 Dixie Hwy Ste NFt Wright, KY 41011-2792 · (859) 341-6255 · Fax (859) 547-1197

Phone(859) 341-6255

Fax(859) 547-1197

Sole ProprietorNo

Enumeration DateFebruary 16, 2009

Last NPPES UpdateFebruary 28, 20236 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2023

✔ NPI 1023257086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 43346

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1955 DIXIE HWY STE N, Ft Wright, KY 41011

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Other Identifiers 1

Medicaid7100163510KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monica K Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Monica Sullivan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Elizabeth Medical Center, Inc.

3.3 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

711 MEDICAL VILLAGE DR
Edgewood, KY 41017

Reassigned Medicare billing, Kentucky enrollment
275 clinicians in this Medicare group

NPI 1588620868 (859) 301-9010

Summit Medical Group, Inc

3.9 mi

Psychiatry

1360 DOLWICK DRIVE
Erlanger, KY 41018

Reassigned Medicare billing, Kentucky enrollment
946 clinicians in this Medicare group

NPI 1508287640 (859) 344-5555

The Christ Hospital Health Network Urgent Care, LLC

10 mi

Internal Medicine

4440 RED BANK RD STE 110
Cincinnati, OH 45227

Reassigned Medicare billing, Kentucky enrollment
18 clinicians in this Medicare group

NPI 1477867208 (513) 564-1366

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

232 services127 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

98 services98 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

94 services60 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

82 services16 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

47 services31 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

43 services43 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

41 services41 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

30 services23 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

29 services28 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

21 services19 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

20 services20 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

19 services19 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421

This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.

16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN PAUL SMITH M.D.

Family Medicine

1955 DIXIE HWY STE N
FT WRIGHT, KY 41011

Kenton County (859) 341-6255

ALEESHA M MONTOYA MD

Family Medicine

1955 DIXIE HWY STE N
FT WRIGHT, KY 41011

Kenton County (859) 341-6255

MARIA BURTON M.D.

Family Medicine

1955 DIXIE HWY STE N
FT WRIGHT, KY 41011

Kenton County (859) 341-6255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monica Sullivan's NPI number?

The NPI number for Monica Sullivan is 1023257086. It was assigned to this individual provider in the NPPES registry on February 16, 2009.

Where is Monica Sullivan located?

Monica Sullivan practices at 1955 Dixie Hwy Ste N, Ft Wright, KY 41011. The listed phone number is (859) 341-6255.

What is Monica Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monica Sullivan enrolled in Medicare?

Yes. Monica Sullivan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Monica Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Sullivan reassigns Medicare benefits to 3 organizations: St. Elizabeth Medical Center, Inc. (Edgewood, KY), Summit Medical Group, Inc (Erlanger, KY) and The Christ Hospital Health Network Urgent Care, LLC (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monica Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Sullivan accept?

Health plans from MedMutual list Monica Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monica Sullivan was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.