DR. JIANLAN SUN M.D., PH.D.
NPI 1730339854
Pathology - Anatomic Pathology & Clinical Pathology in Sandusky, OH

Active since September 25, 2008PECOS EnrolledAccepts Medicare Assignment
80.13/100
CMS Quality Rating
1111 HAYES AVE, SANDUSKY, OH 44870(419) 557-7400(716) 859-1958 Get Directions Write a Review

NPPES record last updated: September 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jianlan Sun M.d., Ph.d. NPPES

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

DR. JIANLAN SUN M.D., PH.D. (NPI 1730339854) is an individual anatomic pathology & clinical pathology provider in Sandusky, Ohio, licensed in New York (253506) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1730339854
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JIANLAN SUNCredential: M.D., PH.D.
Location Address1111 HAYES AVESandusky, OH 44870-3323
Mailing AddressP.o. Box 1188Bowling Green, OH 43402-1188 · (419) 861-7052
Fax(716) 859-1958
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 25, 2008
Last NPPES UpdateSeptember 15, 2017
NPI 1730339854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in NY · 253506 Licensed in OH · 098895
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1111 HAYES AVE, Sandusky, OH 44870

Other Names 1

Other Name (5)Jian-lan Sun Md, Phd

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. Jianlan Sun M.d., Ph.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 ID8325162902
PECOS Enrollment IDI20120514000570, I20250422001519
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 23

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
842 services148 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
585 services368 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
284 services58 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
221 services200 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
200 services176 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
94 services72 patients

Hospital Affiliations CMS Care Compare 5

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151329
Location321 Mitchell AveBatesville, IN 47006 · Franklin County
Emergency services

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

80.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.63
Improvement Activities40

Reported Quality Measures

Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients
This is a measure based on whether quantitative evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) by immunohistochemistry (IHC) uses the system recommended in the current ASCO/CAP Guidelines for Human Epidermal Growth Factor Receptor 2…
100%22 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.

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.

Nurse Practitioner (Family)
1111 HAYES AVE
SANDUSKY, OH 44870
Hospitalist
1111 HAYES AVE
SANDUSKY, OH 44870
Nurse Practitioner (Family)
1111 HAYES AVE
SANDUSKY, OH 44870
Nurse Practitioner (Family)
1111 HAYES AVE
SANDUSKY, OH 44870
Hospitalist
1111 HAYES AVE
SANDUSKY, OH 44870
Emergency Medicine
1111 HAYES AVE
SANDUSKY, OH 44870
Nurse Practitioner (Family)
1111 HAYES AVE
SANDUSKY, OH 44870
Physical Therapist
1111 HAYES AVE
SANDUSKY, OH 44870

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 Jianlan Sun's NPI number?

The NPI number for Jianlan Sun is 1730339854. It was assigned to this individual provider in the NPPES registry on September 25, 2008. The provider is also known as Jian-Lan Sun MD, Phd.

Where is Jianlan Sun located?

Jianlan Sun practices at 1111 Hayes Ave, Sandusky, OH 44870. The listed phone number is (419) 557-7400.

What is Jianlan Sun's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jianlan Sun enrolled in Medicare?

Yes. Jianlan Sun 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 Jianlan Sun accept?

Health plans from CareSource list Jianlan Sun 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 Jianlan Sun affiliated with any hospitals?

According to CMS data, Jianlan Sun is affiliated with Union Hospital Inc, Margaret Mary Community Hospital Inc, The Jewish Hospital-Mercy Health, Fairfield Medical Center and Christ Hospital.

When was this NPI record last updated?

The NPPES record for Jianlan Sun was last updated on September 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.