JAMES SULLIVAN MD
NPI 1164713756
Internal Medicine in Goldsboro, NC

Active since April 29, 2011PECOS EnrolledAccepts Medicare Assignment
58.85/100
CMS Quality Rating
2700 WAYNE MEMORIAL DR, MEDICAL EDUCATION, GOLDSBORO, NC 27534(919) 736-1110(315) 624-6469 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2017, Sep 15, 2016 (2 updates tracked since 2016).

About James Sullivan Md NPPES

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

JAMES SULLIVAN MD (NPI 1164713756) is an individual internal medicine provider in Goldsboro, North Carolina, licensed in North Carolina (2016-00449) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Mountainview Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164713756
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES SULLIVANCredential: MD
Location Address2700 WAYNE MEMORIAL DR, MEDICAL EDUCATIONGoldsboro, NC 27534-9494
Mailing Address2700 Wayne Memorial Dr, Medical EducationGoldsboro, NC 27534-9494
Fax(315) 624-6469
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 29, 2011
Last NPPES UpdateMarch 13, 20172 updates tracked since enumeration
NPI 1164713756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2016-00449
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 ListedHospitalistTaxonomy 208M00000X · License 276980 (NY)
2700 WAYNE MEMORIAL DR, Goldsboro, NC 27534

Other Identifiers 2

Medicaid03914734NY
Medicare UPINJ400169399NY

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

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 ID941421887
PECOS Enrollment IDI20170512001827
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 6

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.

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.
1,111 services368 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
331 services314 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.
207 services197 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
122 services115 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
11 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mountainview Hospital

Acute Care Hospitals · Las Vegas, NV
4/5 CMS rating
OwnershipProprietary
CMS Certification Number290039
Location3100 N Tenaya WayLas Vegas, NV 89128 · Clark County
Emergency services Birthing friendly

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290041
Location657 Town Center DriveLas Vegas, NV 89144 · Clark County
Emergency services Birthing friendly

Centennial Hills Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290054
Location6900 N Durango DrLas Vegas, NV 89149 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27534 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

58.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.4
Improvement Activities40
Cost49.45

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers56 claims56 services$14.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers57 claims57 services$67.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Specialist/Technologist, Other (Surgical Assistant)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Nurse Practitioner (Critical Care Medicine)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Specialist/Technologist, Other (Surgical Assistant)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Pathology (Anatomic Pathology & Clinical Pathology)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Social Worker (Clinical)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Pediatrics (Neonatal-Perinatal Medicine)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Pharmacy (Community/Retail Pharmacy)
2700 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534

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 James Sullivan's NPI number?

The NPI number for James Sullivan is 1164713756. It was assigned to this individual provider in the NPPES registry on April 29, 2011.

Where is James Sullivan located?

James Sullivan practices at 2700 Wayne Memorial Dr Medical Education, Goldsboro, NC 27534. The listed phone number is (919) 736-1110.

What is James Sullivan's specialty?

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

Is James Sullivan enrolled in Medicare?

Yes. James 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.

Is James Sullivan affiliated with any hospitals?

According to CMS data, James Sullivan is affiliated with Mountainview Hospital, Summerlin Hospital Medical Center and Centennial Hills Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for James Sullivan was last updated on March 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.