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MARK F SULLIVAN SR. MD
NPI 1497722615
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Hagerstown, MD

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
11236 ROBINWOOD DR, # 7, HAGERSTOWN, MD 21742(301) 665-4760(301) 665-4761 Get Directions Write a Review

NPPES record last updated: October 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2020, Jul 13, 2017 (2 updates tracked since 2017).

About Mark F Sullivan Sr. Md NPPES

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

MARK F SULLIVAN SR. MD (NPI 1497722615) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Hagerstown, Maryland, licensed in Pennsylvania (MD038772E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and is a graduate of Georgetown University School Of Medicine (1983).

NPPES Registry Identity

NPI1497722615
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMARK F SULLIVAN SR.Credential: MD
Location Address11236 ROBINWOOD DR, # 7Hagerstown, MD 21742-6708
Mailing Address322 E Antietam St, Ste 106Hagerstown, MD 21740-5736 · (301) 739-6147 · Fax (301) 739-6163
Phone(301) 665-4760
Fax(301) 665-4761
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1983
Enumeration DateMarch 7, 2006
Last NPPES UpdateOctober 18, 20202 updates tracked since enumeration
NPPES CertifiedOctober 18, 2020
✔ NPI 1497722615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in PA · MD038772E
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
11236 ROBINWOOD DR, Hagerstown, MD 21742
Open in Google Maps ↗

Other Identifiers 3

Medicaid0017873640003PA
Other11528138PA · Aetna
Other348403PA · Highmark

Accepted Insurance

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

Mark F Sullivan Sr. 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 ID2668407545
PECOS Enrollment IDI20110520000469, I20181219000307
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.
160 services85 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
103 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
65 services61 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.
57 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services26 patients
Insertion of pacemaker and upper and lower heart chamber electrode 33208
A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210001
Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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
$175.57 typical visit price
range $57.99 – $175.57
Typical copayment $43.89 (range $14.49 – $43.89)
Most-billed visit code 99205
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier12 claims46 services$5.28 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.35 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims600 services$0.21 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.35 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 5

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

HAGERSTOWN IMAGING LLC
Clinic/Center (Radiology)
11236 ROBINWOOD DR, SUITE 106
HAGERSTOWN, MD 21742
Washington County (301) 797-4092
CHRISTINE P. LEWIS, PC
Clinic/Center (Medical Specialty)
11236 ROBINWOOD DR, SUITE 102
HAGERSTOWN, MD 21742
Washington County (240) 291-2367
U.N.I. MEDICAL CARE, INC
Clinic/Center (Urgent Care)
11236 ROBINWOOD DR, SUITE 101
HAGERSTOWN, MD 21742
Washington County (240) 313-4242
DR. NARESH C GUPTA M.D.
Specialist
11236 ROBINWOOD DR, STE 106
HAGERSTOWN, MD 21742
Washington County (301) 797-4092
HAGERSTOWN SURGERY CENTER,LLC
Clinic/Center (Ambulatory Surgical)
11236 ROBINWOOD DR
HAGERSTOWN, MD 21742
Washington County (717) 658-5671

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 Mark Sullivan's NPI number?

The NPI number for Mark Sullivan is 1497722615. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Mark Sullivan located?

Mark Sullivan practices at 11236 Robinwood Dr # 7, Hagerstown, MD 21742. The listed phone number is (301) 665-4760.

What is Mark Sullivan's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Mark Sullivan enrolled in Medicare?

Yes. Mark 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 Mark Sullivan accept?

Health plans from CareSource list Mark 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 Mark Sullivan affiliated with any hospitals?

According to CMS data, Mark Sullivan is affiliated with Meritus Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Sullivan was last updated on October 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.