MARC D SULLIVAN M.D.
NPI 1437350030
Family Medicine in Fountain Hills, AZ

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
17.3/100
CMS Quality Rating
16838 E PALISADES BLVD, SUITE C153, FOUNTAIN HILLS, AZ 85268(480) 816-3131(480) 816-3136 Get Directions Write a Review

NPPES record last updated: January 30, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marc D Sullivan M.d. NPPES

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

MARC D SULLIVAN M.D. (NPI 1437350030) is an individual family medicine provider in Fountain Hills, Arizona, licensed in Arizona (40747) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2004).

NPPES Registry Identity

NPI1437350030
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARC D SULLIVANCredential: M.D.
Location Address16838 E PALISADES BLVD, SUITE C153Fountain Hills, AZ 85268-3845
Mailing Address16838 E Palisades, Suite C153Fountain Hills, AZ 85268 · (480) 816-3131 · Fax (480) 816-3136
Fax(480) 816-3136
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2004
Enumeration DateMay 30, 2007
Last NPPES UpdateJanuary 30, 2009
NPI 1437350030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 40747
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.

16838 E PALISADES BLVD, Fountain Hills, AZ 85268

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

Marc D 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 ID4880750983
PECOS Enrollment IDI20090225000291
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 2024 & 2026 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, 30-39 minutes 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.
1,203 services463 patients
Annual alcohol misuse screening, 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
229 services229 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
227 services227 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
218 services218 patients
Annual depression screening, 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
203 services203 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
101 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85268 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

17.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0
Cost37.68

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.

Family Medicine
16838 E PALISADES BLVD, C153
FOUNTAIN HILLS, AZ 85268
Physician Assistant (Medical)
16838 E PALISADES BLVD, C153
FOUNTAIN HILLS, AZ 85268
Anesthesiology (Pain Medicine)
16838 E PALISADES BLVD, BUILDING C
FOUNTAIN HILLS, AZ 85268
Physical Therapy Assistant
16838 E PALISADES BLVD, BLDG B
FOUNTAIN HILLS, AZ 85268
Physical Therapist
16838 E PALISADES BLVD, BLDG B
FOUNTAIN HILLS, AZ 85268
Physical Therapist
16838 E PALISADES BLVD, STE B-121
FOUNTAIN HILLS, AZ 85268
Physical Therapist
16838 E PALISADES BLVD, BUILDING B
FOUNTAIN HILLS, AZ 85268
Physical Therapy Assistant
16838 E PALISADES BLVD, BLDG B-121
FOUNTAIN HILLS, AZ 85268

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437350030, enumerated as an "individual" on May 30, 2007.

The provider is located at 16838 E PALISADES BLVD SUITE C153 FOUNTAIN HILLS, AZ 85268 and the phone number is (480) 816-3131.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.