JOHN MICHAEL SULLIVAN PA-C
NPI 1689204356
Physician Assistant in Boston, MA

Active since January 22, 2020PECOS EnrolledAccepts Medicare Assignment
60 FENWOOD RD, BOSTON, MA 02115(617) 525-6550 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2020, Jan 22, 2020 (2 updates tracked since 2020).

About John Michael Sullivan Pa-c NPPES

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

JOHN MICHAEL SULLIVAN PA-C (NPI 1689204356) is an individual physician assistant in Boston, Massachusetts and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689204356
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN MICHAEL SULLIVANCredential: PA-C
Location Address60 FENWOOD RDBoston, MA 02115-6128
Mailing Address60 Fenwood RdBoston, MA 02115-6128 · (617) 525-6550
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 22, 2020
Last NPPES UpdateJune 16, 20202 updates tracked since enumeration
NPPES CertifiedJune 16, 2020
NPI 1689204356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

60 FENWOOD RD, Boston, MA 02115

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

John Michael Sullivan Pa-c 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 ID5092134908
PECOS Enrollment IDI20200925002273
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.
42 services38 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.
40 services34 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.
22 services22 patients
Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test 62270
A lower back spinal tap involves inserting a needle into the lower back to collect cerebrospinal fluid. This fluid surrounds your brain and spinal cord. The test helps diagnose conditions like infections or diseases of the nervous system.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

Clinical Neuropsychologist
60 FENWOOD RD, DEPARTMENT OF NEUROLOGY
BOSTON, MA 02115
Social Worker (Clinical)
60 FENWOOD RD
BOSTON, MA 02115
Social Worker
60 FENWOOD RD
BOSTON, MA 02115
Social Worker (Clinical)
60 FENWOOD RD
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
60 FENWOOD RD
BOSTON, MA 02115
Psychiatry & Neurology (Neurology)
60 FENWOOD RD
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
60 FENWOOD RD
BOSTON, MA 02115
Psychiatry & Neurology (Psychiatry)
60 FENWOOD RD
BOSTON, MA 02115

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 John Sullivan's NPI number?

The NPI number for John Sullivan is 1689204356. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Where is John Sullivan located?

John Sullivan practices at 60 Fenwood Rd, Boston, MA 02115. The listed phone number is (617) 525-6550.

What is John Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Sullivan enrolled in Medicare?

Yes. John 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.

Is John Sullivan affiliated with any hospitals?

According to CMS data, John Sullivan is affiliated with North Shore Medical Center -, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on June 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.