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MATTHEW R SULLIVAN M.D.
NPI 1104104918
Internal Medicine - Hematology & Oncology in Claremont, NH

Active since July 27, 2011PECOS EnrolledAccepts Medicare Assignment
76.01/100
CMS Quality Rating
243 ELM ST, VRH-KANE CENTER, HEMATOLOGY/ONCOLOGY, CLAREMONT, NH 03743(603) 542-6777 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew R Sullivan M.d. NPPES

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

MATTHEW R SULLIVAN M.D. (NPI 1104104918) is an individual hematology & oncology provider in Claremont, New Hampshire, licensed in New Hampshire (17663) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (2010).

NPPES Registry Identity

NPI1104104918
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMATTHEW R SULLIVANCredential: M.D.
Location Address243 ELM ST, VRH-KANE CENTER, HEMATOLOGY/ONCOLOGYClaremont, NH 03743-4921
Mailing Address243 Elm St, Vrh-kane Center, Hematology/oncologyClaremont, NH 03743-4921 · (603) 542-6777
Phone(603) 542-6777
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2010
Enumeration DateJuly 27, 2011
Last NPPES UpdateSeptember 21, 2016
✔ NPI 1104104918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NH · 17663
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 17663 (NH)
243 ELM ST, Claremont, NH 03743
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.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

Matthew R 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 ID3072811686
PECOS Enrollment IDI20161026001987
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 10

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.

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.
208 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
92 services30 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.
68 services64 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
33 services32 patients
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.
33 services33 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
19 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Cheshire Medical Center

Acute Care Hospitals · Keene, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300019
Location580 Court StreetKeene, NH 03431 · Cheshire County
Emergency services Birthing friendly

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Valley Regional Hospital

Critical Access Hospitals · Claremont, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301308
Location243 Elm StreetClaremont, NH 03743 · Sullivan County
Emergency services

Mt Ascutney Hospital

Critical Access Hospitals · Windsor, VT
OwnershipVoluntary non-profit - Private
CMS Certification Number471302
Location289 County RoadWindsor, VT 05089 · Windsor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03743 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
$174.26 typical visit price
range $57.75 – $174.26
Typical copayment $43.56 (range $14.43 – $43.56)
Most-billed visit code 99205
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

76.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.31
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

VALLEY REGIONAL HOSPITAL
Social Worker (Clinical)
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-7771
DR. LAWRENCE ALBERT MAZUR MD
Psychiatry & Neurology (Psychiatry)
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-7771
DR. ERNEST JAMES HANOWELL DO
Surgery
243 ELM ST, VALLEY REGIONAL SURGICAL ASSOCIATES
CLAREMONT, NH 03743
Sullivan County (603) 542-6777
MRS. DEBORAH WEATHERBY LCSW
Social Worker (Clinical)
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-1877
STEPHANIE SANCA PHARMD
Pharmacist
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-1805
MALCOLM S. SCHONGALLA M.D.
Emergency Medicine
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-1878
CAROLINE WARD OTR/L
Occupational Therapist
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-1878
CHARLES M SAWYER MD
Family Medicine
243 ELM ST
CLAREMONT, NH 03743
Sullivan County (603) 542-7771

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 1104104918. It was assigned to this individual provider in the NPPES registry on July 27, 2011.

Where is Matthew Sullivan located?

Matthew Sullivan practices at 243 Elm St Vrh-Kane Center, Hematology/Oncology, Claremont, NH 03743. The listed phone number is (603) 542-6777.

What is Matthew Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Matthew Sullivan enrolled in Medicare?

Yes. Matthew 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 Matthew Sullivan accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care 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.

Is Matthew Sullivan affiliated with any hospitals?

According to CMS data, Matthew Sullivan is affiliated with Mary Hitchcock Memorial Hospital, Cheshire Medical Center, New London Hospital, Valley Regional Hospital and Mt Ascutney Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Sullivan was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.