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STACEY J SULLIVAN M.D.
NPI 1447284088
Family Medicine in Scottsdale, AZ

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
9070 E DESERT COVE AVE STE A102, SCOTTSDALE, AZ 85260(480) 553-6168(480) 590-6235 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey J Sullivan M.d. NPPES

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

STACEY J SULLIVAN M.D. (NPI 1447284088) is an individual family medicine provider in Scottsdale, Arizona, licensed in Arizona (32083) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Rutgers New Jersey Medical School (2001).

NPPES Registry Identity

NPI1447284088
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTACEY J SULLIVANCredential: M.D.
Location Address9070 E DESERT COVE AVE STE A102Scottsdale, AZ 85260-6227
Mailing Address9070 E Desert Cove Ave Ste A102Scottsdale, AZ 85260-6227 · (480) 553-6168 · Fax (480) 590-6235
Phone(480) 553-6168
Fax(480) 590-6235
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2001
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 5, 2022
NPPES CertifiedJuly 1, 2022
✔ NPI 1447284088 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 · 32083
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.
9070 E DESERT COVE AVE STE A102, Scottsdale, AZ 85260
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Secondary Practice Location 1

Location 116635 N 43rd AvePhoenix, AZ 85053-2707 · Phone (602) 588-0316 · Fax (602) 588-0463

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

Stacey J 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 ID5991793754
PECOS Enrollment IDI20090805000679
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 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.
79 services72 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.
32 services32 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85260 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers30 claims87 services$5.23 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers20 claims20 services$178.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Stacey Sullivan's NPI number?

The NPI number for Stacey Sullivan is 1447284088. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Stacey Sullivan located?

Stacey Sullivan practices at 9070 E Desert Cove Ave Ste A102, Scottsdale, AZ 85260. The listed phone number is (480) 553-6168.

What is Stacey Sullivan's specialty?

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

Is Stacey Sullivan enrolled in Medicare?

Yes. Stacey 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.

When was this NPI record last updated?

The NPPES record for Stacey Sullivan was last updated on July 5, 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.