DR. ERIKA ANNE SULLIVAN M.D.
NPI 1558660795
Family Medicine in Salt Lake City, UT

Active since March 25, 2011PECOS EnrolledAccepts Medicare Assignment
95.7/100
CMS Quality Rating
555 FOOTHILL DR, SALT LAKE CITY, UT 84112(801) 585-5382(801) 585-5393 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Erika Anne Sullivan M.d. NPPES

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

DR. ERIKA ANNE SULLIVAN M.D. (NPI 1558660795) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (8415749-1205) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2011).

NPPES Registry Identity

NPI1558660795
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ERIKA ANNE SULLIVANCredential: M.D.
Location Address555 FOOTHILL DRSalt Lake City, UT 84112-1106
Mailing AddressPo Box 510004Salt Lake City, UT 84151-0004 · (801) 213-3900 · Fax (801) 585-3655
Fax(801) 585-5393
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2011
Enumeration DateMarch 25, 2011
Last NPPES UpdateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
NPI 1558660795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 8415749-1205
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.
555 FOOTHILL DR, Salt Lake City, UT 84112

Accepted 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. Erika Anne 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 ID3971735796
PECOS Enrollment IDI20141226000645
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 4

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.
108 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services15 patients
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.
13 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.19
Promoting Interoperability100
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.

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$120.30 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 20

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

Family Medicine
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Internal Medicine
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Family Medicine
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Nurse Practitioner (Gerontology)
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Dietitian, Registered
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Obstetrics & Gynecology
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Social Worker (Clinical)
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Internal Medicine (Geriatric Medicine)
555 FOOTHILL DR
SALT LAKE CITY, UT 84112

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 Erika Sullivan's NPI number?

The NPI number for Erika Sullivan is 1558660795. It was assigned to this individual provider in the NPPES registry on March 25, 2011.

Where is Erika Sullivan located?

Erika Sullivan practices at 555 Foothill Dr, Salt Lake City, UT 84112. The listed phone number is (801) 585-5382.

What is Erika Sullivan's specialty?

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

Is Erika Sullivan enrolled in Medicare?

Yes. Erika 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 Erika Sullivan accept?

Health plans from Select Health and University of Utah Health Plans list Erika 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 Erika Sullivan affiliated with any hospitals?

According to CMS data, Erika Sullivan is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Erika Sullivan was last updated on November 23, 2021. 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.