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DR. CRAIG D SULLIVAN MD
NPI 1194701615
Family Medicine in Northfield, VT

Active since December 16, 2005PECOS Enrolled
63 CRESCENT AVE, GREEN MOUNTAIN FAMILY PRACTICE, NORTHFIELD, VT 05663(802) 485-4161(802) 485-4163 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Craig D Sullivan Md NPPES

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

DR. CRAIG D SULLIVAN MD (NPI 1194701615) is an individual family medicine provider in Northfield, Vermont, licensed in Vermont (042-0007006) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194701615
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CRAIG D SULLIVANCredential: MD
Location Address63 CRESCENT AVE, GREEN MOUNTAIN FAMILY PRACTICENorthfield, VT 05663-5704
Mailing AddressPo Box 547, Central Vermont Medical Center - Finance DeptBarre, VT 05641-0547 · (802) 485-4161 · Fax (802) 485-4163
Phone(802) 485-4161
Fax(802) 485-4163
Sole ProprietorNo
Enumeration DateDecember 16, 2005
Last NPPES UpdateDecember 4, 2014
✔ NPI 1194701615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VT · 042-0007006
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
63 CRESCENT AVE, Northfield, VT 05663
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Other Identifiers 3

Medicaid0005680VT
Medicare PINVT568001
Medicare UPINC65599VT

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. Craig D Sullivan Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05663 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 4

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

GREEN MOUNTAIN FAMILY PRACTICE
Clinic/Center (Primary Care)
63 CRESCENT AVE
NORTHFIELD, VT 05663
Washington County (802) 485-4161
DR. KEVIN DANIEL CROWLEY MD
Family Medicine
63 CRESCENT AVE
NORTHFIELD, VT 05663
Washington County (802) 485-4161
SARAH LYNN DAVIES M.D.
Family Medicine
63 CRESCENT AVE, GREEN MOUNTAIN FAMILY PRACTICE
NORTHFIELD, VT 05663
Washington County (802) 485-4161
DEBORAH M O HARA PA C
Physician Assistant
63 CRESCENT AVE, GREEN MOUNTAIN FAMILY PRACTICE
NORTHFIELD, VT 05663
Washington County (802) 485-4161

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 Craig Sullivan's NPI number?

The NPI number for Craig Sullivan is 1194701615. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Craig Sullivan located?

Craig Sullivan practices at 63 Crescent Ave Green Mountain Family Practice, Northfield, VT 05663. The listed phone number is (802) 485-4161.

What is Craig Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Craig Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Craig Sullivan was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.