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ELISE D SULLIVAN MD
NPI 1538365986
Family Medicine in Craig, CO

Active since June 22, 2007PECOS EnrolledAccepts Medicare Assignment
87.96/100
CMS Quality Rating
745 RUSSELL ST, CRAIG, CO 81625(970) 824-8233 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2024, Dec 22, 2015 (2 updates tracked since 2015).

About Elise D Sullivan Md NPPES

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

ELISE D SULLIVAN MD (NPI 1538365986) is an individual family medicine provider in Craig, Colorado, licensed in Colorado (54286) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2007).

NPPES Registry Identity

NPI1538365986
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELISE D SULLIVANCredential: MD
Location Address745 RUSSELL STCraig, CO 81625-2019
Mailing Address745 Russell StCraig, CO 81625-2019 · (970) 824-8233
Phone(970) 824-8233
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2007
Enumeration DateJune 22, 2007
Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1538365986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 54286
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
745 RUSSELL ST, Craig, CO 81625
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Other Identifiers 1

Medicaid34877215CO

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

Elise D 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 ID5890933386
PECOS Enrollment IDI20150129001612
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81625 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
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.

87.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.43
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
50%428 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
57%825 patients3/55-star benchmark: 85%
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
46%199 patients2/55-star benchmark: 100%
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.
96%5,506 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
47%582 patients3/55-star benchmark: 88%
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.
98%341 patients4/55-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.
69%2,718 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…
79%2,718 patients4/55-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…
27%2,718 patients2/55-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%2,718 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 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers48 claims93 services$6.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims14 services$1.13 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$24.43 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$9.37 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$6.31 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers20 claims20 services$101.88 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 18

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

APRIL ANTHONY R.N.
Registered Nurse
745 RUSSELL ST
CRAIG, CO 81625
Moffat County (970) 871-7686
NORTHWEST CO VISITING NURSE ASS
Public Health or Welfare
745 RUSSELL ST
CRAIG, CO 81625
Moffat County (970) 824-8233
OLIVIA SCHEELE RN
Registered Nurse
745 RUSSELL ST
CRAIG, CO 81625
Moffat County (970) 824-8233
ANNIE JUERGENS RDH
Dental Hygienist
745 RUSSELL ST
CRAIG, CO 81625
Moffat County (970) 824-8233
NORTHWEST COLORADO VISTING NURSE ASSOCIATION
Clinic/Center (Federally Qualified Health Center (FQHC))
745 RUSSELL ST
CRAIG, CO 81625
Moffat County (970) 824-8233
NEILENE FOLKS PA-C
Physician Assistant (Medical)
745 RUSSELL ST
CRAIG, CO 81625
Moffat County (970) 824-8233
MS. ANN T IRVIN RN BSN
Registered Nurse
745 RUSSELL ST, NWCVNA CRAIG MOFFAT COUNTY RIO BLANCO CO
CRAIG, CO 81625
Moffat County (970) 824-8233
CHET PETERSON RN, CCM, CDCES
Registered Nurse (Diabetes Educator)
745 RUSSELL ST
CRAIG, CO 81625
Moffat County (970) 824-8233

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 Elise Sullivan's NPI number?

The NPI number for Elise Sullivan is 1538365986. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is Elise Sullivan located?

Elise Sullivan practices at 745 Russell St, Craig, CO 81625. The listed phone number is (970) 824-8233.

What is Elise Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elise Sullivan enrolled in Medicare?

Yes. Elise 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.

When was this NPI record last updated?

The NPPES record for Elise Sullivan was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.