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MR. KENNETH W SULLIVAN M.D.
NPI 1376637215
Family Medicine in Joelton, TN

Active since October 03, 2006PECOS EnrolledCLIA 44D1066832 · Waiver
3511 OLD CLARKSVILLE PIKE, JOELTON, TN 37080(615) 299-5341(615) 299-5386 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth W Sullivan M.d. NPPES

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

MR. KENNETH W SULLIVAN M.D. (NPI 1376637215) is an individual family medicine provider in Joelton, Tennessee, licensed in Tennessee (27509) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through April 3, 2027.

NPPES Registry Identity

NPI1376637215
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. KENNETH W SULLIVANCredential: M.D.
Location Address3511 OLD CLARKSVILLE PIKEJoelton, TN 37080-8892
Mailing AddressPo Box 57Springfield, TN 37172-0057 · (615) 299-5341 · Fax (615) 299-5386
Phone(615) 299-5341
Fax(615) 299-5386
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 9, 2015
✔ NPI 1376637215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 27509
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3511 OLD CLARKSVILLE PIKE, Joelton, TN 37080
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kenneth W Sullivan M.d. 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1066832

Kenneth W Sullivan MD · Joelton, TN
Active · expires Apr 3, 2027
CLIA Number44D1066832
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorKenneth W. Sullivan MD
Laboratory Phone(615) 299-5341
Laboratory LocationKenneth W Sullivan MD3511 Old Clarksville Highway, Joelton, TN 37080
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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 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.
58 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37080 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

Reported Quality Measures

Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
25%434 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
3%434 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers20 claims20 services$195.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MRS. KERRY LYNN CARRIGAN-FITE
Nurse Practitioner
3511 OLD CLARKSVILLE PIKE
JOELTON, TN 37080
Davidson County (615) 299-5341
SULLIVAN FAMILY PRACTICE, INC.
Family Medicine
3511 OLD CLARKSVILLE PIKE
JOELTON, TN 37080
Davidson County (615) 299-5341

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 Kenneth Sullivan's NPI number?

The NPI number for Kenneth Sullivan is 1376637215. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Kenneth Sullivan located?

Kenneth Sullivan practices at 3511 Old Clarksville Pike, Joelton, TN 37080. The listed phone number is (615) 299-5341.

What is Kenneth Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Sullivan enrolled in Medicare?

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

Does Kenneth Sullivan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1066832) is associated with this NPI, valid through April 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kenneth Sullivan accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Kenneth 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 Kenneth Sullivan was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.