ABIGAYLE SULLIVAN DO
NPI 1053805077
Internal Medicine in Boston, MA

Active since June 22, 2018PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-7000 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Abigayle Sullivan Do NPPES

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

ABIGAYLE SULLIVAN DO (NPI 1053805077) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (1019573) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053805077
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameABIGAYLE SULLIVANCredential: DO
Location Address330 BROOKLINE AVEBoston, MA 02215-5400
Mailing AddressPo Box 13579Reading, PA 19612-3579
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 22, 2018
Last NPPES UpdateMay 27, 2024
NPPES CertifiedMay 27, 2024
NPI 1053805077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 1019573
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 ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 1019573 (MA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 1019573 (MA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 1019573 (MA)
330 BROOKLINE AVE, Boston, MA 02215

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

Abigayle Sullivan Do 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 ID8426306739
PECOS Enrollment IDI20220617001933
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 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services54 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.
46 services46 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
330 BROOKLINE AVE, KS 306
BOSTON, MA 02215
Internal Medicine (Cardiovascular Disease)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Critical Care Medicine)
330 BROOKLINE AVE, GZ 405
BOSTON, MA 02215
Radiology (Radiation Oncology)
330 BROOKLINE AVE, FINARD BUILDING B25
BOSTON, MA 02215
Psychiatry & Neurology (Neurology)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Cardiovascular Disease)
330 BROOKLINE AVE
BOSTON, MA 02215
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA 02215

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 Abigayle Sullivan's NPI number?

The NPI number for Abigayle Sullivan is 1053805077. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is Abigayle Sullivan located?

Abigayle Sullivan practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-7000.

What is Abigayle Sullivan's specialty?

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

Is Abigayle Sullivan enrolled in Medicare?

Yes. Abigayle 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.

What insurance does Abigayle Sullivan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Abigayle 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.

Is Abigayle Sullivan affiliated with any hospitals?

According to CMS data, Abigayle Sullivan is affiliated with St Lukes Quakertown Hospital, Reading Hospital, St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for Abigayle Sullivan was last updated on May 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.