DR. JAMES FRANCIS SULLIVAN M.D.
NPI 1780679472
Internal Medicine in Mystic, CT

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
200 SANDY HOLLOW RD, MYSTIC, CT 06355(860) 572-8911(860) 572-7758 Get Directions Write a Review

NPPES record last updated: December 22, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Francis Sullivan M.d. NPPES

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

DR. JAMES FRANCIS SULLIVAN M.D. (NPI 1780679472) is an individual internal medicine provider in Mystic, Connecticut, licensed in Connecticut (017250) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (1973).

NPPES Registry Identity

NPI1780679472
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES FRANCIS SULLIVANCredential: M.D.
Location Address200 SANDY HOLLOW RDMystic, CT 06355-1720
Mailing Address200 Sandy Hollow RdMystic, CT 06355-1720 · (860) 572-8911 · Fax (860) 572-7758
Fax(860) 572-7758
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1973
Enumeration DateSeptember 19, 2005
Last NPPES UpdateDecember 22, 2009
NPI 1780679472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 017250
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

200 SANDY HOLLOW RD, Mystic, CT 06355

Other Identifiers 2

Medicare UPIND33504CT
Medicare PIN490000057CT

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. James Francis 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 ID1850390915
PECOS Enrollment IDI20061219000133
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services63 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06355 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%159 patients4/55-star benchmark: 100%
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 7

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

Internal Medicine
200 SANDY HOLLOW RD
MYSTIC, CT 06355
Internal Medicine
200 SANDY HOLLOW RD
MYSTIC, CT 06355
Ophthalmology
200 SANDY HOLLOW RD
MYSTIC, CT 06355
Internal Medicine
200 SANDY HOLLOW RD
MYSTIC, CT 06355
Internal Medicine
200 SANDY HOLLOW RD
MYSTIC, CT 06355
Internal Medicine
200 SANDY HOLLOW RD
MYSTIC, CT 06355
Internal Medicine
200 SANDY HOLLOW RD
MYSTIC, CT 06355

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 James Sullivan's NPI number?

The NPI number for James Sullivan is 1780679472. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is James Sullivan located?

James Sullivan practices at 200 Sandy Hollow Rd, Mystic, CT 06355. The listed phone number is (860) 572-8911.

What is James Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Sullivan enrolled in Medicare?

Yes. James 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 James Sullivan was last updated on December 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.