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DR. CORNELIUS JOSEPH SULLIVAN DMD
NPI 1316931868
Dentist - Oral and Maxillofacial Surgery in Annapolis, MD

Active since September 09, 2005Opted out of Medicare · through Aug 1, 2027
275 WEST ST, SUITE 100, ANNAPOLIS, MD 21401(410) 268-7790(410) 268-7874 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Cornelius Joseph Sullivan Dmd NPPES

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

DR. CORNELIUS JOSEPH SULLIVAN DMD (NPI 1316931868) is an individual oral and maxillofacial surgery provider in Annapolis, Maryland, licensed in Maryland (10357) and active in the NPI registry since September 2005. He has opted out of Medicare through August 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316931868
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CORNELIUS JOSEPH SULLIVANCredential: DMD
Location Address275 WEST ST, SUITE 100Annapolis, MD 21401-3400
Mailing Address275 West St, Suite 100Annapolis, MD 21401-3400 · (410) 268-7790 · Fax (410) 268-7874
Phone(410) 268-7790
Fax(410) 268-7874
Enumeration DateSeptember 9, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316931868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MD · 10357
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
275 WEST ST, Annapolis, MD 21401
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Other Identifiers 2

Medicare UPINU05316
Medicare ID-Type Unspecified710BMD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Cornelius Joseph Sullivan Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2013 through August 1, 2027.

Opt-Out Effective DateAugust 1, 2013
Opt-Out In Effect ThroughAugust 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

Other Providers at the Same Location NPPES 5

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

DR. KURT CHARLES JONES
Dentist (Oral and Maxillofacial Surgery)
275 WEST ST, SUITE100
ANNAPOLIS, MD 21401
Anne Arundel County (410) 268-7790
DR. LUBOR HLOUSEK DMD MD
Dentist (Oral and Maxillofacial Surgery)
275 WEST ST, SUITE 100
ANNAPOLIS, MD 21401
Anne Arundel County (410) 268-7790
DR. CLIFFORD STEVEN WALZER DMD
Dentist (Oral and Maxillofacial Surgery)
275 WEST ST, SUITE 100
ANNAPOLIS, MD 21401
Anne Arundel County (410) 268-7790
DR. LISA W. HILL, LLC
Psychologist (Clinical)
275 WEST ST, SUITE 304
ANNAPOLIS, MD 21401
Anne Arundel County (202) 550-2762
NICHOLAS E. DANIEL DDS P.C.
Dentist (General Practice)
275 WEST ST, SUITE 105
ANNAPOLIS, MD 21401
Anne Arundel County (410) 280-5370

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 Cornelius Sullivan's NPI number?

The NPI number for Cornelius Sullivan is 1316931868. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Cornelius Sullivan located?

Cornelius Sullivan practices at 275 West St Suite 100, Annapolis, MD 21401. The listed phone number is (410) 268-7790.

What is Cornelius Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Cornelius Sullivan enrolled in Medicare?

No. Cornelius Sullivan has opted out of Medicare through August 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Cornelius Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Cornelius 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 Cornelius Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.