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DR. DENNIS J SULLIVAN M.D.
NPI 1497770853
Orthopaedic Surgery - Sports Medicine in Bridgton, ME

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
79.37/100
CMS Quality Rating
55 MAIN ST., SUITE 2, BRIDGTON, ME 04009(207) 647-3633(207) 647-5633 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Dennis J Sullivan M.d. NPPES

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

DR. DENNIS J SULLIVAN M.D. (NPI 1497770853) is an individual sports medicine provider in Bridgton, Maine, licensed in Maine (011964) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Rumford Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1497770853
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. DENNIS J SULLIVANCredential: M.D.
Location Address55 MAIN ST., SUITE 2Bridgton, ME 04009
Mailing AddressPo Box 658Bridgton, ME 04009 · (207) 647-3633 · Fax (207) 647-5633
Phone(207) 647-3633
Fax(207) 647-5633
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 13, 2006
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1497770853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in ME · 011964
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
55 MAIN ST., Bridgton, ME 04009
Open in Google Maps ↗

Other Identifiers 1

Medicaid105900000ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro 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. Dennis 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 ID6002893526
PECOS Enrollment IDI20040702000162
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

4

Medicare enrollment records show Dennis Sullivan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bridgton Hospital
0.6 mi
Critical Access
10 HOSPITAL DR
Bridgton, ME 04009
  • Reassigned Medicare billing, Maine enrollment
  • 563 clinicians in this Medicare group
NPI 1154370153 (207) 795-5709
Central Maine Medical Center
25 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646
Rumford Community Family Health Center, Inc.
35 mi
Rural Health
430 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 77 clinicians in this Medicare group
NPI 1578599775 (207) 369-0146
Rumford Hospital
35 mi
Critical Access
420 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 544 clinicians in this Medicare group
NPI 1205991122 (207) 369-1000

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 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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
84 services56 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Rumford Hospital

Critical Access Hospitals · Rumford, ME
OwnershipProprietary
CMS Certification Number201306
Location420 Franklin StreetRumford, ME 04276 · Oxford County
Emergency services

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201310
Location10 Hospital DriveBridgton, ME 04009 · Cumberland County
Emergency services

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

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.

79.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.66
Promoting Interoperability99
Improvement Activities40

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.

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
1 supplier11 claims11 services$67.46 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 Dennis Sullivan's NPI number?

The NPI number for Dennis Sullivan is 1497770853. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Dennis Sullivan located?

Dennis Sullivan practices at 55 Main St. Suite 2, Bridgton, ME 04009. The listed phone number is (207) 647-3633.

What is Dennis Sullivan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Dennis Sullivan enrolled in Medicare?

Yes. Dennis 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 Dennis Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dennis Sullivan reassigns Medicare benefits to 4 organizations: Bridgton Hospital (Bridgton, ME), Central Maine Medical Center (Lewiston, ME), Rumford Community Family Health Center, Inc. (Rumford, ME) and Rumford Hospital (Rumford, ME). 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 Dennis Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dennis Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Dennis 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 Dennis Sullivan affiliated with any hospitals?

According to CMS data, Dennis Sullivan is affiliated with Rumford Hospital, Bridgton Hospital and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dennis Sullivan was last updated on March 21, 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.