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SCOTT F SULLIVAN PA
NPI 1477592988
Physician Assistant in East Providence, RI

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
450 VETERANS MEMORIAL PKWY # 15B, EAST PROVIDENCE, RI 02914(401) 434-3350(401) 434-5230 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2025, Feb 19, 2025 (2 updates tracked since 2025).

About Scott F Sullivan Pa NPPES

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

SCOTT F SULLIVAN PA (NPI 1477592988) is an individual physician assistant in East Providence, Rhode Island, licensed in Massachusetts (PA826) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477592988
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSCOTT F SULLIVANCredential: PA
Location Address450 VETERANS MEMORIAL PKWY # 15BEast Providence, RI 02914-5300
Mailing AddressProvider Enrollment 41 Mall RoadBurlington, MA 01805-0001
Phone(401) 434-3350
Fax(401) 434-5230
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1477592988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MA · PA826✔ Licensed in RI · PA00259
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
450 VETERANS MEMORIAL PKWY # 15B, East Providence, RI 02914
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1118 Dudley StProvidence, RI 02905-2403 · Phone (401) 273-4155 · Fax (401) 273-4115
Location 241 Mall RdBurlington, MA 01805-2403 · Phone (781) 744-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Scott F Sullivan Pa 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 ID2860465192
PECOS Enrollment IDI20080522000060
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 2

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.
53 services36 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

Hospital Affiliations CMS Care Compare

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

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

Other Providers at the Same Location NPPES 3

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

BONNIE CAHILL PA-C
Physician Assistant
450 VETERANS MEMORIAL PKWY # 15B
EAST PROVIDENCE, RI 02914
Providence County (401) 434-3350
DR. DAVID E LEIBOWITZ D.O.
Family Medicine
450 VETERANS MEMORIAL PKWY # 15B
EAST PROVIDENCE, RI 02914
Providence County (401) 434-3350
DAVID GELLIS M.D.
Internal Medicine
450 VETERANS MEMORIAL PKWY # 15B
EAST PROVIDENCE, RI 02914
Providence County (401) 434-3350

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 Scott Sullivan's NPI number?

The NPI number for Scott Sullivan is 1477592988. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Scott Sullivan located?

Scott Sullivan practices at 450 Veterans Memorial Pkwy # 15B, East Providence, RI 02914. The listed phone number is (401) 434-3350.

What is Scott Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Scott Sullivan enrolled in Medicare?

Yes. Scott 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 Scott Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield list Scott 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.

Is Scott Sullivan affiliated with any hospitals?

According to CMS data, Scott Sullivan is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Scott Sullivan was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.