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DR. MICHAEL STANLEY SULLIVAN MD
NPI 1265495659
Pediatrics in New Bern, NC

Active since April 08, 2006PECOS Enrolled
2636 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562(252) 636-1919(252) 636-2656 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael Stanley Sullivan Md NPPES

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

DR. MICHAEL STANLEY SULLIVAN MD (NPI 1265495659) is an individual pediatrics provider in New Bern, North Carolina, licensed in North Carolina (2022-01788) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Beaufort.

NPPES Registry Identity

NPI1265495659
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MICHAEL STANLEY SULLIVANCredential: MD
Location Address2636 DR MARTIN LUTHER KING JR BLVDNew Bern, NC 28562-4238
Mailing AddressPo Box 68Pollocksville, NC 28573-0068 · (252) 636-1919 · Fax (252) 636-2656
Phone(252) 636-1919
Fax(252) 636-2656
Sole ProprietorNo
Enumeration DateApril 8, 2006
Last NPPES UpdateSeptember 12, 2022
NPPES CertifiedAugust 25, 2022
✔ NPI 1265495659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NC · 2022-01788✔ Licensed in RI · MD09704
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2636 DR MARTIN LUTHER KING JR BLVD, New Bern, NC 28562
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Secondary Practice Location 1

Location 11 Pinckney Blvd, Naval Hospital BeaufortBeaufort, SC 29902-6148 · Phone (843) 228-5577 · Fax (843) 228-5196

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Stanley 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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinaeast Physicians
Same address
Internal Medicine
2604 DR MARTIN LUTHER KING JR BLVD, SUITE B
New Bern, NC 28562
  • Reassigned Medicare billing, North Carolina enrollment
  • 320 clinicians in this Medicare group
NPI 1871894519 (252) 638-4023

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 6

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

MARCUS CRAIG WHALEY MD
Pediatrics
2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Craven County (252) 636-1919
KRISTI D GORDIN MD
Pediatrics
2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Craven County (252) 636-1919
DR. REBECCA C. H. RILEY MD
Pediatrics
2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Craven County (252) 636-1919
CAROLINAEAST PHYSICIANS
Pediatrics
2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Craven County (252) 636-1919
JENNIFER LOUISE SMITH M.D.
Pediatrics
2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Craven County (252) 636-1919
JENNIE CRAIG MANGUN MD
Pediatrics
2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
Craven County (252) 636-1919

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 Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1265495659. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Michael Sullivan located?

Michael Sullivan practices at 2636 Dr Martin Luther King Jr Blvd, New Bern, NC 28562. The listed phone number is (252) 636-1919.

What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Sullivan enrolled in Medicare?

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

Which organization bills Medicare for Michael Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Sullivan reassigns Medicare benefits to Carolinaeast Physicians (New Bern, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Sullivan accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.