PAUL EDWARD SULLIVAN D.P.M.
NPI 1417953647
Podiatrist - Foot Surgery in Marlton, NJ

Q: What is Paul Sullivan's NPI number?

The NPI number for Paul Sullivan is 1417953647. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Paul Sullivan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Q: When was this NPI record last updated?

The NPPES record for Paul Sullivan was last updated on February 28, 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.

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment

88.23/100

CMS Quality Rating

999 ROUTE 73 N STE 401, MARLTON, NJ 08053(800) 321-9999(267) 479-1321 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2022, Nov 10, 2015 (2 updates tracked since 2015).

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About Paul Edward Sullivan D.p.m. NPPES

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

PAUL EDWARD SULLIVAN D.P.M. (NPI 1417953647) is an individual foot surgery provider in Marlton, New Jersey, licensed in New Jersey (25MD00267000) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Inspira Medical Center Mullica Hill, and is a graduate of Kent State University College Of Podiatric Medicine (1993).

NPPES Registry Identity

NPI1417953647

Entity TypeIndividualMale

Primary Taxonomy213ES0131X

Provider Legal NamePAUL EDWARD SULLIVANCredential: D.P.M.

Location Address999 ROUTE 73 N STE 401Marlton, NJ 08053-1227

Mailing Address833 Chestnut St Ste 520Philadelphia, PA 19107-4430 · (800) 321-9999 · Fax (267) 339-3761

Phone(800) 321-9999

Fax(267) 479-1321

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 1993

Enumeration DateJune 22, 2005

Last NPPES UpdateFebruary 28, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2022

✔ NPI 1417953647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

License✔ Licensed in NJ · 25MD00267000

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License SC003899L (PA)

999 ROUTE 73 N STE 401, Marlton, NJ 08053

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Other Identifiers 1

Medicaid8925704NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Paul Edward Sullivan D.p.m. 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 ID1456374396

PECOS Enrollment IDI20060106000321

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 10

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.

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

401 services256 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.

297 services217 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.

178 services153 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

168 services168 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

152 services95 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

80 services80 patients

Hospital Affiliations CMS Care Compare

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

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310069

Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County

Emergency services Birthing friendly

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.

88.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.57

Promoting Interoperability

Improvement Activities

Cost

91.05

Referred Medical Equipment & Supplies CMS DME claims 6

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

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902

DME-Orthotic Devices · category DF003N

1 supplier39 claims39 services$77.76 avg. paid by Medicare

Ankle foot orthosis, plastic or other material, custom fabricated L1940

DME-Orthotic Devices · category DF003N

2 suppliers23 claims24 services$486.32 avg. paid by Medicare

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only L2330

DME-Orthotic Devices · category DF000N

2 suppliers21 claims22 services$404.74 avg. paid by Medicare

Addition to lower extremity orthosis, soft interface for molded plastic, below knee section L2820

DME-Orthotic Devices · category DF000N

2 suppliers22 claims23 services$74.56 avg. paid by Medicare

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf L4350

DME-Orthotic Devices · category DF000N

1 supplier16 claims17 services$69.32 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

2 suppliers37 claims37 services$214.11 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 16

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

JOHN P SALVO JR. MD

Orthopaedic Surgery