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DR. TARA L. SULLIVAN O.D.
NPI 1518410133
Optometrist in Auburn, ME

Active since July 31, 2016PECOS EnrolledAccepts Medicare Assignment
245 CENTER ST, AUBURN, ME 04210(207) 786-2500(207) 786-2503 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2023, Nov 4, 2020 (2 updates tracked since 2020).

About Dr. Tara L. Sullivan O.d. NPPES

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

DR. TARA L. SULLIVAN O.D. (NPI 1518410133) is an individual optometrist in Auburn, Maine, licensed in Massachusetts (5072) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2010).

NPPES Registry Identity

NPI1518410133
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. TARA L. SULLIVANCredential: O.D.
Location Address245 CENTER STAuburn, ME 04210-6169
Mailing Address475 Lisbon StLewiston, ME 04240-7418 · (207) 786-2500 · Fax (207) 786-2503
Phone(207) 786-2500
Fax(207) 786-2503
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2010
Enumeration DateJuly 31, 2016
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1518410133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 5072
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
245 CENTER ST, Auburn, ME 04210
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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

Dr. Tara L. Sullivan O.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 ID345524351
PECOS Enrollment IDI20170310000356
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 10

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
163 services142 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
156 services142 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
137 services130 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
84 services83 patients
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.
64 services57 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
47 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04210 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%24 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.

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.

MONTANA LYNN HOPKINS HIS
Hearing Instrument Specialist
245 CENTER ST
AUBURN, ME 04210
Androscoggin County (207) 782-7112
CUSTOM HEARING
Hearing Aid Equipment
245 CENTER ST, SUITE 3
AUBURN, ME 04210
Androscoggin County (207) 344-6146
BEACON HOSPICE, LLC
Hospice Care, Community Based
245 CENTER ST, SUITE 10A
AUBURN, ME 04210
Androscoggin County (207) 784-4242

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 Tara Sullivan's NPI number?

The NPI number for Tara Sullivan is 1518410133. It was assigned to this individual provider in the NPPES registry on July 31, 2016.

Where is Tara Sullivan located?

Tara Sullivan practices at 245 Center St, Auburn, ME 04210. The listed phone number is (207) 786-2500.

What is Tara Sullivan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Tara Sullivan enrolled in Medicare?

Yes. Tara 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 Tara Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield list Tara 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 Tara Sullivan was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.