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MATTHEW JOHN SULLIVAN
NPI 1205400926
Hospitalist in Pickerington, OH

Active since May 17, 2021PECOS EnrolledAccepts Medicare Assignment
1010 REFUGEE RD, PICKERINGTON, OH 43147(614) 566-8883(614) 566-8149 Get Directions Write a Review

NPPES record last updated: August 4, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 4, 2024, Jun 28, 2024, May 17, 2021 (3 updates tracked since 2021).

About Matthew John Sullivan NPPES

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

MATTHEW JOHN SULLIVAN (NPI 1205400926) is an individual hospitalist provider in Pickerington, Ohio, licensed in Ohio (35.150307) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Medical College Of Ohio (2021).

NPPES Registry Identity

NPI1205400926
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMATTHEW JOHN SULLIVAN
Location Address1010 REFUGEE RDPickerington, OH 43147-9653
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(614) 566-8883
Fax(614) 566-8149
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 2021
Enumeration DateMay 17, 2021
Last NPPES UpdateAugust 4, 20243 updates tracked since enumeration
NPPES CertifiedAugust 4, 2024
✔ NPI 1205400926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.150307
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1010 REFUGEE RD, Pickerington, OH 43147
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 John Sullivan 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 ID4486053386
PECOS Enrollment IDI20241010003730
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 3

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
66 services34 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.
24 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43147 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

ALEXANDRA MALSCH
Physician Assistant
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
KATHERINE THERESE GRAEBEL MD
Hospitalist
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
MEGAN ELIZABETH VANLANDINGHAM PA
Physician Assistant
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
MICHAEL WILLIAM TEMPELHOF MD
Internal Medicine (Cardiovascular Disease)
1010 REFUGEE RD, 3RD FLOOR, SUITE 310
PICKERINGTON, OH 43147
Fairfield County (614) 533-5000
MR. KALEB MICHAEL PEREZ PA
Physician Assistant
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
MELISSA SHIGEYO MOON CNP
Nurse Practitioner (Family)
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 788-4000
DR. CALEB THOMAS WAGNER M.D.
Hospitalist
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
MRS. SARAH KATHERINE WEST CNP
Nurse Practitioner (Acute Care)
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 788-4000

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 1205400926. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Matthew Sullivan located?

Matthew Sullivan practices at 1010 Refugee Rd, Pickerington, OH 43147. The listed phone number is (614) 566-8883.

What is Matthew Sullivan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

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 CareSource 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 Riverside Methodist Hospital and Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Sullivan was last updated on August 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.