DR. SCOTT J SULLIVAN M.D.
NPI 1790733822
Radiology - Diagnostic Radiology in Greenwich, CT

Active since May 04, 2006PECOS Enrolled
49 LAKE AVE, GREENWICH, CT 06830(203) 869-6220(203) 869-2672 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Scott J Sullivan M.d. NPPES

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

DR. SCOTT J SULLIVAN M.D. (NPI 1790733822) is an individual diagnostic radiology provider in Greenwich, Connecticut, licensed in Connecticut (039001) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center - Pine Ridge, and maintains a secondary practice location in Edina.

NPPES Registry Identity

NPI1790733822
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SCOTT J SULLIVANCredential: M.D.
Location Address49 LAKE AVEGreenwich, CT 06830-4501
Mailing Address49 Lake AveGreenwich, CT 06830-4501 · (203) 861-2381 · Fax (203) 983-3318
Fax(203) 869-2672
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1991
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
NPI 1790733822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CT · 039001
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
49 LAKE AVE, Greenwich, CT 06830

Secondary Practice Location 1

Location 13600 Minnesota Dr Ste 800Edina, MN 55435-7915 · Phone (952) 595-1100

Other Identifiers 1

Medicaid001390012CT

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 (PECOS)

Dr. Scott J Sullivan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214017995
PECOS Enrollment IDI20110329000507
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 84

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
786 services661 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
568 services543 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
291 services274 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
260 services258 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
217 services217 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
214 services212 patients

Hospital Affiliations CMS Care Compare 4

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

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100286
Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County
Emergency services

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440006
Location3441 Dickerson PikeNashville, TN 37207 · Davidson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06830 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%629 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%88 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.

Radiology (Diagnostic Radiology)
49 LAKE AVE
GREENWICH, CT 06830
Specialist
49 LAKE AVE
GREENWICH, CT 06830
Clinic/Center (Oral and Maxillofacial Surgery)
49 LAKE AVE
GREENWICH, CT 06830
Dermatology
49 LAKE AVE
GREENWICH, CT 06830
Dentist (Oral and Maxillofacial Surgery)
49 LAKE AVE
GREENWICH, CT 06830
Clinic/Center (Health Service)
49 LAKE AVE
GREENWICH, CT 06830
Audiologist
49 LAKE AVE, SUITE 103
GREENWICH, CT 06830
Pharmacist
49 LAKE AVE
GREENWICH, CT 06830

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 Scott Sullivan's NPI number?

The NPI number for Scott Sullivan is 1790733822. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Scott Sullivan located?

Scott Sullivan practices at 49 Lake Ave, Greenwich, CT 06830. The listed phone number is (203) 869-6220.

What is Scott Sullivan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Scott Sullivan enrolled in Medicare?

Yes. Scott Sullivan is registered in the Medicare PECOS enrollment system.

What insurance does Scott Sullivan accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, CareSource and HMO Louisiana and 4 other insurers list Scott 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 Scott Sullivan affiliated with any hospitals?

According to CMS data, Scott Sullivan is affiliated with Physicians Regional Medical Center - Pine Ridge, Willis Knighton Medical Center, West Jersey Hospital and Tristar Skyline Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Sullivan was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.