GAIL T SULLIVAN MD
NPI 1245247501
Obstetrics & Gynecology - Gynecology in Philadelphia, PA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
9331 OLD BUSTLETON AVE, SUITE 203, PHILADELPHIA, PA 19115(215) 602-8900(215) 602-8904 Get Directions Write a Review

NPPES record last updated: October 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gail T Sullivan Md NPPES

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

GAIL T SULLIVAN MD (NPI 1245247501) is an individual gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD-054949-L) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Medical College Of Pennsylvania (1991).

NPPES Registry Identity

NPI1245247501
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameGAIL T SULLIVANCredential: MD
Location Address9331 OLD BUSTLETON AVE, SUITE 203Philadelphia, PA 19115-4204
Mailing AddressPo Box 820933Philadelphia, PA 19182-0933 · (215) 602-8900 · Fax (215) 602-8904
Fax(215) 602-8904
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1991
Enumeration DateAugust 1, 2006
Last NPPES UpdateOctober 23, 2013
NPI 1245247501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in PA · MD-054949-L
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD054949L (PA)
9331 OLD BUSTLETON AVE, Philadelphia, PA 19115

Other Identifiers 6

Other1007278000PA · Tpi Medicaid Group
OtherCD4829PA · Tpi Railroad Medicare
Medicare UPING09469PA
Medicare ID-Type Unspecified786090PA
Medicaid001534913PA
Other597586PA · Tpi Group Medicare

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

Gail T 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 ID8123023736
PECOS Enrollment IDI20061003000268
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.

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.
79 services79 patients
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.
52 services46 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.
47 services47 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19115 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.19
Promoting Interoperability98
Improvement Activities40
Cost54.93

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.

Obstetrics & Gynecology
9331 OLD BUSTLETON AVE, SUITE 201
PHILADELPHIA, PA 19115
Obstetrics & Gynecology (Gynecology)
9331 OLD BUSTLETON AVE, SUITE 203
PHILA, PA 19115
Obstetrics & Gynecology
9331 OLD BUSTLETON AVE, SUITE 101
PHILADELPHIA, PA 19115
Family Medicine
9331 OLD BUSTLETON AVE, SUITE 100A
PHILADELPHIA, PA 19115
Internal Medicine
9331 OLD BUSTLETON AVE, SUITE 202
PHILADELPHIA, PA 19115
Obstetrics & Gynecology (Gynecology)
9331 OLD BUSTLETON AVE, SUITE 203
PHILADELPHIA, PA 19115
Family Medicine
9331 OLD BUSTLETON AVE, SUITE 101
PHILADELPHIA, PA 19115
Family Medicine
9331 OLD BUSTLETON AVE, SUITE 201
PHILA, PA 19115

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 Gail Sullivan's NPI number?

The NPI number for Gail Sullivan is 1245247501. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Gail Sullivan located?

Gail Sullivan practices at 9331 Old Bustleton Ave Suite 203, Philadelphia, PA 19115. The listed phone number is (215) 602-8900.

What is Gail Sullivan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Gail Sullivan enrolled in Medicare?

Yes. Gail 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 Gail Sullivan affiliated with any hospitals?

According to CMS data, Gail Sullivan is affiliated with Temple University Hospital, Holy Redeemer Hospital And Medical Center and Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Gail Sullivan was last updated on October 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.