ANNE C SULLIVAN M.D.
NPI 1386652626
Orthopaedic Surgery in Columbus, OH

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
543 TAYLOR AVE FL 1, COLUMBUS, OH 43203(614) 293-2663(614) 293-2053 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anne C Sullivan M.d. NPPES

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

ANNE C SULLIVAN M.D. (NPI 1386652626) is an individual orthopaedic surgery provider in Columbus, Ohio, licensed in Ohio (35070072) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Ohio State University College Of Medicine (1994).

NPPES Registry Identity

NPI1386652626
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameANNE C SULLIVANCredential: M.D.
Location Address543 TAYLOR AVE FL 1Columbus, OH 43203-1278
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-2663 · Fax (614) 293-2053
Fax(614) 293-2053
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1994
Enumeration DateAugust 3, 2006
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
NPI 1386652626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 35070072
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

543 TAYLOR AVE FL 1, Columbus, OH 43203

Other Identifiers 1

Medicaid0082669OH

Accepted 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

Anne C Sullivan M.d. 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 ID941207161
PECOS Enrollment IDI20130513000147
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.

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.
40 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services23 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43203 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

Neurological Surgery
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Orthopaedic Surgery
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Physician Assistant
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Physician Assistant
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Nurse Practitioner (Adult Health)
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Nurse Practitioner (Gerontology)
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Physician Assistant
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203

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 Anne Sullivan's NPI number?

The NPI number for Anne Sullivan is 1386652626. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Anne Sullivan located?

Anne Sullivan practices at 543 Taylor Ave Fl 1, Columbus, OH 43203. The listed phone number is (614) 293-2663.

What is Anne Sullivan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Anne Sullivan enrolled in Medicare?

Yes. Anne 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 Anne Sullivan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Anne 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 Anne Sullivan affiliated with any hospitals?

According to CMS data, Anne Sullivan is affiliated with Ohio State University State Health System and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Anne Sullivan was last updated on February 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.