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KATHRYN SULLIVAN MD
NPI 1487700167
Urology in Travis Afb, CA

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
60 MDG, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535(707) 423-7401 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2026, Nov 11, 2025 (2 updates tracked since 2025).

About Kathryn Sullivan Md NPPES

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

KATHRYN SULLIVAN MD (NPI 1487700167) is an individual urology provider in Travis Afb, California, licensed in Virginia (0101249048) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Titus Regional Medical Center, and maintains a secondary practice location in Mount Pleasant.

NPPES Registry Identity

NPI1487700167
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameKATHRYN SULLIVANCredential: MD
Location Address60 MDG, 101 BODIN CIRCLETravis Afb, CA 94535-1800
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809 · (720) 220-4403
Phone(707) 423-7401
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2005
Enumeration DateJanuary 26, 2007
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1487700167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in VA · 0101249048✔ Licensed in TX · V5135
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
60 MDG, Travis Afb, CA 94535
Open in Google Maps ↗

Secondary Practice Location 1

Location 12001 N JEFFERSON AVE STE 210Mount Pleasant, TX 75455-2390 · Phone (903) 434-7111 · Fax (903) 577-6245

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, 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

Kathryn Sullivan Md 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 ID2860631884
PECOS Enrollment IDI20141021002782, I20250827001487
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 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.
50 services40 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
14 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450080
Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County
Emergency services Birthing friendly

Clinch Valley Medical Center

Acute Care Hospitals · Richlands, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490060
Location6801 Governor Gc Perry HighwayRichlands, VA 24641 · Tazewell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94535 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
$145.83 typical visit price
range $65.02 – $191.95
Typical copayment $36.45 (range $16.25 – $47.98)
Most-billed visit code 99204
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%636 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
93%380 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
54%714 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
60%714 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
13%714 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%714 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
8 suppliers79 claims13,370 services$1.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DINH LE
Pharmacist
60 MDG, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 423-7656
MR. ROBERT MIKE HEIL FNP
Nurse Practitioner (Family)
60 MDG, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 432-8532
KEVIN REECE D.O.
Emergency Medicine
60 MDG, 101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3825
JAMIE NICOLE LIEBERMAN DPT
Physical Therapist
60 MDG, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 423-7899
JULIUS L BROWN
Nurse Anesthetist, Certified Registered
60 MDG, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 423-3000
DR. ADAM CHARLES GROBART DMD
Dentist
60 MDG, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 423-7085
MR. ROGELIO BECERRA
Social Worker (Clinical)
60 MDG, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 423-3000
JENNIFER FIELDING
Nurse Anesthetist, Certified Registered
60 MDG, 101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000

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 Kathryn Sullivan's NPI number?

The NPI number for Kathryn Sullivan is 1487700167. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Kathryn Sullivan located?

Kathryn Sullivan practices at 60 Mdg 101 Bodin Circle, Travis Afb, CA 94535. The listed phone number is (707) 423-7401.

What is Kathryn Sullivan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kathryn Sullivan enrolled in Medicare?

Yes. Kathryn 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 Kathryn Sullivan accept?

Health plans from AmeriHealth Caritas Next and UnitedHealthcare list Kathryn 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 Kathryn Sullivan affiliated with any hospitals?

According to CMS data, Kathryn Sullivan is affiliated with Titus Regional Medical Center and Clinch Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kathryn Sullivan was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.