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DR. MATTHEW SULLIVAN D.O.
NPI 1073927398
Emergency Medicine in Fort Worth, TX

Active since June 14, 2014PECOS Enrolled
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-8773 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Matthew Sullivan D.o. NPPES

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

DR. MATTHEW SULLIVAN D.O. (NPI 1073927398) is an individual emergency medicine provider in Fort Worth, Texas, licensed in Texas (Q7799) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073927398
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MATTHEW SULLIVANCredential: D.O.
Location Address1500 S MAIN STFort Worth, TX 76104
Mailing Address1500 S Main StFort Worth, TX 76104-4917
Phone(817) 702-8773
Sole ProprietorYes
Enumeration DateJune 14, 2014
Last NPPES UpdateJune 22, 2018
✔ NPI 1073927398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · Q7799
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1500 S MAIN ST, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Sullivan D.o. 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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
188 services183 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.
75 services75 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 20

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

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

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 Matthew Sullivan's NPI number?

The NPI number for Matthew Sullivan is 1073927398. It was assigned to this individual provider in the NPPES registry on June 14, 2014.

Where is Matthew Sullivan located?

Matthew Sullivan practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-8773.

What is Matthew Sullivan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Sullivan enrolled in Medicare?

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

What insurance does Matthew Sullivan accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Matthew 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 Matthew Sullivan was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.