LANCE EUGENE SULLENBERGER MD
NPI 1174623086
Internal Medicine - Cardiovascular Disease in Albany, NY

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
80.06/100
CMS Quality Rating
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES, PC, ALBANY, NY 12211(518) 292-6000(518) 292-6050 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lance Eugene Sullenberger Md NPPES

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

LANCE EUGENE SULLENBERGER MD (NPI 1174623086) is an individual cardiovascular disease provider in Albany, New York, licensed in New York (247198) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Georgetown University School Of Medicine (1997).

NPPES Registry Identity

NPI1174623086
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameLANCE EUGENE SULLENBERGERCredential: MD
Location Address7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES, PCAlbany, NY 12211-2526
Mailing Address7 Southwoods Blvd, Capital Cardiology Associates, PcAlbany, NY 12211-2526 · (518) 292-6000 · Fax (518) 292-6050
Fax(518) 292-6050
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1997
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJanuary 30, 2015
NPI 1174623086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in NY · 247198 Licensed in VA · 0101058708
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

7 SOUTHWOODS BLVD, Albany, NY 12211

Other Identifiers 5

Medicaid2156164MA
Medicaid02961168NY
Medicare PINRB7493NY
OtherP00679142NY · Medicare, Railroad
Medicaid1015882VT

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

Lance Eugene Sullenberger 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 ID7416034269
PECOS Enrollment IDI20080404000112
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 67

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.

Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
62,197 services115 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
11,267 services134 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,970 services1,419 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
1,860 services529 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
1,836 services519 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.
1,787 services1,255 patients

Hospital Affiliations CMS Care Compare 5

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330094
Location71 Prospect AvenueHudson, NY 12534 · Columbia County
Emergency services

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12211 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

80.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.13
Improvement Activities40
Cost60.81

Reported Quality Measures

Controlling High Blood Pressure
75%970 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
77%47 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
94%284 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%6,648 patients4/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
69%45 patients3/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
81%42 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
95%4,467 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%2,474 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 1,133 patients
Patients screened: 97% · 1,133 patients
93%138 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%1,810 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%2,597 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier11 claims11 services$19.42 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims39 services$38.66 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier11 claims344 services$1.34 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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES, PC DIV OF CARDIO SURGERY
ALBANY, NY 12211
Internal Medicine (Cardiovascular Disease)
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES PC
ALBANY, NY 12211
Nurse Practitioner (Acute Care)
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES PC
ALBANY, NY 12211
Internal Medicine (Cardiovascular Disease)
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES, PC
ALBANY, NY 12211
Surgery
7 SOUTHWOODS BLVD
ALBANY, NY 12211
Internal Medicine (Cardiovascular Disease)
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES, PC
ALBANY, NY 12211
Internal Medicine (Cardiovascular Disease)
7 SOUTHWOODS BLVD
ALBANY, NY 12211
Nurse Practitioner (Adult Health)
7 SOUTHWOODS BLVD
ALBANY, NY 12211

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 Lance Sullenberger's NPI number?

The NPI number for Lance Sullenberger is 1174623086. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Lance Sullenberger located?

Lance Sullenberger practices at 7 Southwoods Blvd Capital Cardiology Associates, PC, Albany, NY 12211. The listed phone number is (518) 292-6000.

What is Lance Sullenberger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Lance Sullenberger enrolled in Medicare?

Yes. Lance Sullenberger 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 Lance Sullenberger affiliated with any hospitals?

According to CMS data, Lance Sullenberger is affiliated with Albany Medical Center Hospital, St Peter's Hospital, Columbia Memorial Hospital, Samaritan Hospital Of Troy, New York and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Lance Sullenberger was last updated on January 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.