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DR. KEVIN L. SULLIVAN M.D.
NPI 1447276225
Radiology - Vascular & Interventional Radiology in Decatur, GA

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
250 PONCE DE LEON AVE, SUITE 100, DECATUR, GA 30030(404) 377-9171(404) 377-9172 Get Directions Write a Review

NPPES record last updated: July 27, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kevin L. Sullivan M.d. NPPES

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

DR. KEVIN L. SULLIVAN M.D. (NPI 1447276225) is an individual vascular & interventional radiology provider in Decatur, Georgia, licensed in Georgia (053430) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1981).

NPPES Registry Identity

NPI1447276225
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. KEVIN L. SULLIVANCredential: M.D.
Location Address250 PONCE DE LEON AVE, SUITE 100Decatur, GA 30030-3406
Mailing Address182 Industrial RoadGlen Rock, PA 17327-8626 · (717) 235-9352 · Fax (717) 235-4024
Phone(404) 377-9171
Fax(404) 377-9172
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1981
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 27, 2012
✔ NPI 1447276225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses✔ Licensed in GA · 053430✔ Licensed in PA · MD027085E
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License MD027085E (PA)
250 PONCE DE LEON AVE, Decatur, GA 30030
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Other Identifiers 3

Medicare PINSU508950GA
Medicaid409020411IGA
Medicare UPINE71699

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin L. 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 ID8325952427
PECOS Enrollment IDI20031113000443
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kevin Sullivan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Preferred Vascular Services Southeast LLC
8.8 mi
Vascular Surgery
5461 HILLANDALE DR STE 210
Lithonia, GA 30058
  • Reassigned Medicare billing, Georgia enrollment
  • 17 clinicians in this Medicare group
NPI 1861992976 (770) 981-8477
Preferred Vascular Services Southwest
15 mi
Vascular Surgery
3885 PRINCETON LAKES WAY SW STE 314
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 18 clinicians in this Medicare group
NPI 1790285229 (404) 349-7770
Preferred Vascular Services Northeast
16 mi
Vascular Surgery
1 DUNWOODY PARK STE 140
Atlanta, GA 30338
  • Reassigned Medicare billing, Georgia enrollment
  • 18 clinicians in this Medicare group
NPI 1780184218 (404) 554-2080
Preferred Vascular Services Northwest, LLC
20 mi
Vascular Surgery
711 CANTON RD NE STE 220
Marietta, GA 30060
  • Reassigned Medicare billing, Georgia enrollment
  • 18 clinicians in this Medicare group
NPI 1598037822 (404) 554-2196
Preferred Vascular Services Macon LLC
75 mi
Vascular Surgery
889 2ND ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 18 clinicians in this Medicare group
NPI 1437659455 (478) 254-9363

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
21 services21 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
20 services20 patients
Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901
This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.21
Improvement Activities40

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 Kevin Sullivan's NPI number?

The NPI number for Kevin Sullivan is 1447276225. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Kevin Sullivan located?

Kevin Sullivan practices at 250 Ponce De Leon Ave Suite 100, Decatur, GA 30030. The listed phone number is (404) 377-9171.

What is Kevin Sullivan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Kevin Sullivan enrolled in Medicare?

Yes. Kevin 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.

Which organizations bill Medicare for Kevin Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Sullivan reassigns Medicare benefits to 5 organizations: Preferred Vascular Services Southeast LLC (Lithonia, GA), Preferred Vascular Services Southwest (Atlanta, GA), Preferred Vascular Services Northeast (Atlanta, GA), Preferred Vascular Services Northwest, LLC (Marietta, GA) and Preferred Vascular Services Macon LLC (Macon, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Sullivan accept?

Health plans from Oscar Health list Kevin 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 Kevin Sullivan was last updated on July 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.