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

Q: What is Marc Sullivan's NPI number?

The NPI number for Marc Sullivan is 1437350030. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Marc Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marc Sullivan was last updated on January 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 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: August 09, 2026.

On this page

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

Phone(480) 816-3131

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 8

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.

1,185 services401 patients

Annual alcohol misuse screening, 5 to 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.

251 services251 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.

250 services250 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.

238 services238 patients

Annual depression screening, 5 to 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.

232 services232 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.

91 services71 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

Quality

Improvement Activities

Cost

37.68

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.

BENSON CHYR PA

Physician Assistant

16838 E PALISADES BLVD
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 816-3131

BROOKE ALLEN OTR/L

Occupational Therapist (Hand)

16838 E PALISADES BLVD, BUILDING B SUITE 121
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 837-2595

RODNEY WALKER DPT

Physical Therapist

16838 E PALISADES BLVD, BLDG B
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 837-2595

THOMAS A WEBB DPT

Physical Therapist

16838 E PALISADES BLVD, STE B-121
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 837-2595

LOVING FAMILY DENTAL LTD

Dentist (General Practice)

16838 E PALISADES BLVD, SUITE 111-A
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 836-7600

JOHN KLINE DPT

Physical Therapist

16838 E PALISADES BLVD, BLDG B-121
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 837-2595

DANIEL WIERCK PTA

Physical Therapy Assistant

16838 E PALISADES BLVD, BLDG B-121
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 837-2595

LISA LOVING DMD

Dentist (General Practice)

16838 E PALISADES BLVD, STE 111
FOUNTAIN HILLS, AZ 85268

Maricopa County (480) 836-7600

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 Marc Sullivan's NPI number?

The NPI number for Marc Sullivan is 1437350030. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Marc Sullivan located?

Marc Sullivan practices at 16838 E Palisades Blvd Suite C153, Fountain Hills, AZ 85268. The listed phone number is (480) 816-3131.

What is Marc Sullivan's specialty?

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

Is Marc Sullivan enrolled in Medicare?

Yes. Marc 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 Marc Sullivan accept?

Health plans from UnitedHealthcare list Marc 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 Marc Sullivan was last updated on January 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.