DR. RACHAEL ELIZABETH SULLIVAN D.O.
NPI 1205198561
Obstetrics & Gynecology in Lufkin, TX

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
1105 W FRANK AVE STE 200, LUFKIN, TX 75904(936) 631-6771(936) 639-8952 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2026, Aug 26, 2016 (2 updates tracked since 2016).

About Dr. Rachael Elizabeth Sullivan D.o. NPPES

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

DR. RACHAEL ELIZABETH SULLIVAN D.O. (NPI 1205198561) is an individual obstetrics & gynecology provider in Lufkin, Texas, licensed in Texas (Q8363) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Chi St Lukes Health Memorial Lufkin, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2012).

NPPES Registry Identity

NPI1205198561
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. RACHAEL ELIZABETH SULLIVANCredential: D.O.
Location Address1105 W FRANK AVE STE 200Lufkin, TX 75904-3395
Mailing Address1105 W Frank Ave, Suite 200Lufkin, TX 75904-3303 · (936) 631-6771 · Fax (936) 639-8952
Fax(936) 639-8952
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2012
Enumeration DateJune 13, 2012
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
NPI 1205198561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · Q8363
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1105 W FRANK AVE STE 200, Lufkin, TX 75904

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

Dr. Rachael Elizabeth Sullivan D.o. 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 ID3577858760
PECOS Enrollment IDI20160826001925
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 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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services35 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Chi St Lukes Health Memorial Livingston

Acute Care Hospitals · Livingston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450395
Location1717 Hwy 59 BypassLivingston, TX 77351 · Polk County
Emergency services Birthing friendly

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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 $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
1105 W FRANK AVE STE 200
LUFKIN, TX 75904
Nurse Practitioner (Family)
1105 W FRANK AVE STE 200
LUFKIN, TX 75904
Midwife
1105 W FRANK AVE STE 200
LUFKIN, TX 75904

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 Rachael Sullivan's NPI number?

The NPI number for Rachael Sullivan is 1205198561. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Rachael Sullivan located?

Rachael Sullivan practices at 1105 W Frank Ave Ste 200, Lufkin, TX 75904. The listed phone number is (936) 631-6771.

What is Rachael Sullivan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rachael Sullivan enrolled in Medicare?

Yes. Rachael 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 Rachael Sullivan accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Rachael 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 Rachael Sullivan affiliated with any hospitals?

According to CMS data, Rachael Sullivan is affiliated with Chi St Lukes Health Memorial Lufkin, Chi St Lukes Health Memorial Livingston and Woodland Heights Medical Center.

When was this NPI record last updated?

The NPPES record for Rachael Sullivan was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.