DR. MATTHEW PATRICK SULLIVAN MD
NPI 1750609004
Orthopaedic Surgery - Orthopaedic Trauma in East Syracuse, NY
About Dr. Matthew Patrick Sullivan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MATTHEW PATRICK SULLIVAN MD (NPI 1750609004) is an individual orthopaedic trauma provider in East Syracuse, New York, licensed in Washington (MD60545599) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Guthrie Cortland Regional Medical Center, and is a graduate of Boston University School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Matthew Patrick 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.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Syracuse, NY 13057
- Reassigned Medicare billing, New York enrollment
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Guthrie Cortland Regional Medical Center
Acute Care Hospitals · Cortland, NYUniversity Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYMedicare 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.
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.
EAST SYRACUSE, NY 13057
EAST SYRACUSE, NY 13057
EAST SYRACUSE, NY 13057
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 Matthew Sullivan's NPI number?
The NPI number for Matthew Sullivan is 1750609004. It was assigned to this individual provider in the NPPES registry on May 12, 2010.
Where is Matthew Sullivan located?
Matthew Sullivan practices at 6620 Fly Rd Ste 200, East Syracuse, NY 13057. The listed phone number is (315) 464-4472.
What is Matthew Sullivan's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.
Is Matthew Sullivan enrolled in Medicare?
Yes. Matthew 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.
Which organization bills Medicare for Matthew Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Sullivan reassigns Medicare benefits to Upstate Orthopedics, LLP (East Syracuse, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Matthew Sullivan affiliated with any hospitals?
According to CMS data, Matthew Sullivan is affiliated with Guthrie Cortland Regional Medical Center and University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Matthew Sullivan was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Matthew Patrick Sullivan, MD · NPI 1750609004
Orthopaedic Trauma physician in East Syracuse, New York. Individual provider, active in the CMS NPPES registry since May 12, 2010.
## Identity
- **NPI:** 1750609004 (Entity type: Individual)
- **Enumerated:** May 12, 2010
- **Primary specialty:** Orthopaedic Surgery - Orthopaedic Trauma · taxonomy 207XX0801X
- **State license:** MD60545599 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 6620 FLY RD, STE 200, East Syracuse, NY 13057-9791
- **Phone:** (315) 464-4472
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Upstate Orthopedics, LLP (NPI 1740228311, East Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** November 2, 2016
- **Other identifiers:** Medicaid 04488400 (NY); Medicare PIN J400320491 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1750609004) · Data from the CMS NPPES public registry.