FRANK X OSULLIVAN MD
NPI 1043243629
Internal Medicine - Rheumatology in Albuquerque, NM

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
2211 LOMAS BLVD NE # 5ACC, ALBUQUERQUE, NM 87106(505) 272-3840(505) 272-4006 Get Directions Write a Review

NPPES record last updated: October 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2024, Jul 11, 2023 (2 updates tracked since 2023).

About Frank X Osullivan Md NPPES

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

FRANK X OSULLIVAN MD (NPI 1043243629) is an individual rheumatology provider in Albuquerque, New Mexico, licensed in New Mexico (96338) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1978).

NPPES Registry Identity

NPI1043243629
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameFRANK X OSULLIVANCredential: MD
Location Address2211 LOMAS BLVD NE # 5ACCAlbuquerque, NM 87106-2719
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476 · Fax (505) 272-4006
Fax(505) 272-4006
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1978
Enumeration DateJuly 8, 2006
Last NPPES UpdateOctober 5, 20242 updates tracked since enumeration
NPPES CertifiedOctober 5, 2024
NPI 1043243629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NM · 96338
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

2211 LOMAS BLVD NE # 5ACC, Albuquerque, NM 87106

Other Identifiers 1

MedicaidK0721NM

Accepted Insurance

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

Frank X Osullivan Md 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 ID9739197369
PECOS Enrollment IDI20060323000508
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 2

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
103 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services39 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES

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

Internal Medicine (Rheumatology)
2211 LOMAS BLVD NE # 5ACC
ALBUQUERQUE, NM 87106

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 Frank Osullivan's NPI number?

The NPI number for Frank Osullivan is 1043243629. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Frank Osullivan located?

Frank Osullivan practices at 2211 Lomas Blvd NE # 5acc, Albuquerque, NM 87106. The listed phone number is (505) 272-3840.

What is Frank Osullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Frank Osullivan enrolled in Medicare?

Yes. Frank Osullivan 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.

What insurance does Frank Osullivan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Frank Osullivan 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.

Is Frank Osullivan affiliated with any hospitals?

According to CMS data, Frank Osullivan is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Frank Osullivan was last updated on October 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.