RAYMOND JAMES SULLIVAN MD
NPI 1093790065
Anesthesiology in Edgewood, KY

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
20 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS. PSC, EDGEWOOD, KY 41017(859) 341-7246(859) 341-7867 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Raymond James Sullivan Md NPPES

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

RAYMOND JAMES SULLIVAN MD (NPI 1093790065) is an individual anesthesiology provider in Edgewood, Kentucky, licensed in Kentucky (26391) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1985).

NPPES Registry Identity

NPI1093790065
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameRAYMOND JAMES SULLIVANCredential: MD
Location Address20 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS. PSCEdgewood, KY 41017
Mailing Address20 Medical Village Dr, Ste 258Edgewood, KY 41017 · (859) 341-7246 · Fax (859) 341-7867
Fax(859) 341-7867
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1985
Enumeration DateDecember 13, 2005
Last NPPES UpdateFebruary 20, 2008
NPI 1093790065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in KY · 26391
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

20 MEDICAL VILLAGE DR, Edgewood, KY 41017

Other Identifiers 5

Medicare ID-Type Unspecified0094437KY
Medicaid64263916KY
Other00000032585Anthem Blue Shield
Medicare UPINE14150
Medicaid0959173OH

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

Raymond James Sullivan 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 ID4082609821
PECOS Enrollment IDI20040420000122
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
63 services63 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
40 services39 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
34 services34 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Durable Medical Equipment & Medical Supplies
20 MEDICAL VILLAGE DR, SUITE 103
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
20 MEDICAL VILLAGE DR, SUITE 258
EDGEWOOD, KY 41017
Surgery
20 MEDICAL VILLAGE DR, SUITE 394
EDGEWOOD, KY 41017
Internal Medicine (Cardiovascular Disease)
20 MEDICAL VILLAGE DR, STE. 177
EDGEWOOD, KY 41017
Internal Medicine (Interventional Cardiology)
20 MEDICAL VILLAGE DR, STE. 177
EDGEWOOD, KY 41017
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017
Dentist (Oral and Maxillofacial Surgery)
20 MEDICAL VILLAGE DR, SUITE 196
EDGEWOOD, KY 41017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093790065, enumerated as an "individual" on December 13, 2005.

The provider is located at 20 MEDICAL VILLAGE DR INDEPENDENT ANESTHESIOLOGISTS. PSC EDGEWOOD, KY 41017 and the phone number is (859) 341-7246.

Anesthesiology with taxonomy code 207L00000X.

The provider might be accepting Accepts: CareSource, Medicare, Medicaid, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Raymond Sullivan is affiliated with: ST ELIZABETH FT THOMAS, ST ELIZABETH EDGEWOOD and ST ELIZABETH FLORENCE.