DR. MARY ANN SULLIVAN M.D.
NPI 1043659949
Ophthalmology in Chula Vista, CA

Q: What is Mary Sullivan's NPI number?

The NPI number for Mary Sullivan is 1043659949. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Q: What is Mary Sullivan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Sullivan was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 June 24, 2013PECOS EnrolledAccepts Medicare Assignment

311 DEL MAR AVE, CHULA VISTA, CA 91910(619) 427-3355 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2025, May 26, 2021, Dec 8, 2015 (3 updates tracked since 2015).

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About Dr. Mary Ann Sullivan M.d. NPPES

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

DR. MARY ANN SULLIVAN M.D. (NPI 1043659949) is an individual ophthalmology provider in Chula Vista, California, licensed in California (202020) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2013).

NPPES Registry Identity

NPI1043659949

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. MARY ANN SULLIVANCredential: M.D.

Location Address311 DEL MAR AVEChula Vista, CA 91910-3908

Mailing Address311 Del Mar AveChula Vista, CA 91910-3908 · (619) 427-3355

Phone(619) 427-3355

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2013

Enumeration DateJune 24, 2013

Last NPPES UpdateApril 3, 20253 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1043659949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in CA · 202020✔ Licensed in VA · 101256883

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101256883 (VA)

311 DEL MAR AVE, Chula Vista, CA 91910

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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

Dr. Mary Ann Sullivan M.d. 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 ID9537391891

PECOS Enrollment IDI20250513000111

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 4

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

26 services25 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

22 services22 patients

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.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91910 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

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 5

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

DR. JESSICA SHANSHAN MASLIN M.D.

Ophthalmology