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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DONALD J SULLIVAN MD
NPI 1508814484
Physical Medicine & Rehabilitation - Pain Medicine in Germantown, TN

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9639 FOX HILL CIR N, GERMANTOWN, TN 38139(901) 315-7932 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2026, Apr 9, 2024, Mar 20, 2019 (3 updates tracked since 2019).

About Dr. Donald J Sullivan Md NPPES

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

DR. DONALD J SULLIVAN MD (NPI 1508814484) is an individual pain medicine provider in Germantown, Tennessee, licensed in Tennessee (26078) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Ohio State University College Of Medicine (1988).

NPPES Registry Identity

NPI1508814484
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. DONALD J SULLIVANCredential: MD
Location Address9639 FOX HILL CIR NGermantown, TN 38139-6812
Mailing AddressPo Box 1000 Dept 0194Memphis, TN 38148-2246 · (901) 315-7932
Phone(901) 315-7932
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1988
Enumeration DateMay 4, 2006
Last NPPES UpdateSeptember 10, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1508814484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in TN · 26078
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License W2916 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License 26078 (TN)
9639 FOX HILL CIR N, Germantown, TN 38139
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Secondary Practice Locations 2

Location 12400 Saint Michael DrTexarkana, TX 75503-2374 · Phone (903) 614-4440 · Fax (903) 614-4444
Location 24100 Austin Peay HwyMemphis, TN 38128-2502 · Phone (901) 213-5460 · Fax (901) 213-5439

Other Identifiers 1

OtherP00219690TN · Rail Road Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Donald J 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 ID6103816756
PECOS Enrollment IDI20250623002875, I20251021003986
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

3

Medicare enrollment records show Donald Sullivan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Donald J Sullivan MD
14 mi
Pain Medicine
4100 AUSTIN PEAY HWY
Memphis, TN 38128
  • Reassigned Medicare billing, Tennessee enrollment
  • 4 clinicians in this Medicare group
NPI 1124268297 (901) 213-5460
Somc Medical Care Foundation, Inc.
452 mi
Diagnostic Radiology
1805 27TH ST
Portsmouth, OH 45662
  • Reassigned Medicare billing, Ohio enrollment
  • 549 clinicians in this Medicare group
NPI 1366686230 (740) 356-8117
St Joseph Hospital LLC
1,620 mi
Internal Medicine
415 6TH STREET, PHYSICIAN SERVICES
Lewiston, ID 83501
  • Reassigned Medicare billing, Idaho enrollment
  • 164 clinicians in this Medicare group
NPI 1205368404 (208) 750-7462

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 6

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.

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.
1,183 services264 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.
157 services150 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
106 services103 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.
70 services53 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
17 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%51 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%37 patients5/55-star benchmark: 100%
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 16

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier46 claims46 services$51.01 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers38 claims38 services$53.15 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
3 suppliers59 claims59 services$10.16 avg. paid by Medicare
Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each E0168
DME-Other DME · category DE000N
1 supplier16 claims16 services$12.20 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers23 claims23 services$49.60 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
4 suppliers66 claims69 services$44.15 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 Donald Sullivan's NPI number?

The NPI number for Donald Sullivan is 1508814484. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Donald Sullivan located?

Donald Sullivan practices at 9639 Fox Hill Cir N, Germantown, TN 38139. The listed phone number is (901) 315-7932.

What is Donald Sullivan's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Donald Sullivan enrolled in Medicare?

Yes. Donald 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 Donald Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Sullivan reassigns Medicare benefits to 3 organizations: Donald J Sullivan MD (Memphis, TN), Somc Medical Care Foundation, Inc. (Portsmouth, OH) and St Joseph Hospital LLC (Lewiston, ID). 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 Donald Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Sullivan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Cigna Healthcare and 4 other insurers list Donald 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.

When was this NPI record last updated?

The NPPES record for Donald Sullivan was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.