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JUSTIN L SULLIVAN D.O.
NPI 1023307139
Internal Medicine in Hickory, NC

Active since March 30, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602(828) 326-3000 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin L Sullivan D.o. NPPES

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

JUSTIN L SULLIVAN D.O. (NPI 1023307139) is an individual internal medicine provider in Hickory, North Carolina, licensed in North Carolina (201301701) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Catawba Valley Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1023307139
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN L SULLIVANCredential: D.O.
Location Address810 FAIRGROVE CHURCH RDHickory, NC 28602-9617
Mailing Address810 Fairgrove Church RdHickory, NC 28602-9617 · (828) 326-3000
Phone(828) 326-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 30, 2011
Last NPPES UpdateSeptember 23, 2015
✔ NPI 1023307139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 201301701
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License PERMIT (AZ)
810 FAIRGROVE CHURCH RD, Hickory, NC 28602
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin L Sullivan D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901121276
PECOS Enrollment IDI20151118000768
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
284 services139 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
174 services124 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
143 services140 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
51 services51 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28602 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost91.25

Reported Quality Measures

Advance Care Plan
80%132 patients4/55-star benchmark: 100%
Dementia: Functional Status Assessment
87%30 patients
Documentation of Current Medications in the Medical Record
100%31 patients5/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
66%32 patients1/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
89%35 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers41 claims41 services$17.14 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$6.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers40 claims40 services$89.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

PATRICIA HICKLING-BECKMAN MIDWIFE
Advanced Practice Midwife
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Catawba County (828) 326-3809
MR. MARCUS WHITFIELD OSBORNE LAT, ATC
Specialist/Technologist (Athletic Trainer)
810 FAIRGROVE CHURCH RD, CVMC-CENTER FOR REHABILITATION
HICKORY, NC 28602
Catawba County (828) 326-2272
VALERIE ALAYNE GASTON MIDWIFE
Advanced Practice Midwife
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Catawba County (828) 326-3809
LESLEY LAUREN LODER NP
Nurse Practitioner
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Catawba County (828) 326-3809
CATAWBA VALLEY MEDICAL CENTER
Ambulance (Land Transport)
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Catawba County (828) 326-3809
CATAWBA VALLEY MEDICAL CENTER
General Acute Care Hospital
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Catawba County (828) 326-3809
BRIAN L BADDERS LPT
Physical Therapist
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Catawba County (828) 326-3809
IDA LOUISE GOODNIGHT CRNA
Nurse Anesthetist, Certified Registered
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602
Catawba County (828) 326-3809

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 Justin Sullivan's NPI number?

The NPI number for Justin Sullivan is 1023307139. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Justin Sullivan located?

Justin Sullivan practices at 810 Fairgrove Church Rd, Hickory, NC 28602. The listed phone number is (828) 326-3000.

What is Justin Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Sullivan enrolled in Medicare?

Yes. Justin Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Justin Sullivan affiliated with any hospitals?

According to CMS data, Justin Sullivan is affiliated with Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Sullivan was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.