ROBERT SULLIVAN
NPI 1790971273
Internal Medicine in Altoona, PA

Q: What is Robert Sullivan's NPI number?

The NPI number for Robert Sullivan is 1790971273. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Q: What is Robert Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Sullivan was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 19, 2007PECOS EnrolledAccepts Medicare Assignment

73.64/100

CMS Quality Rating

1414 9TH AVE, ALTOONA, PA 16602(814) 946-1655 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Robert Sullivan NPPES

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

ROBERT SULLIVAN (NPI 1790971273) is an individual internal medicine provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD032190E) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1979).

NPPES Registry Identity

NPI1790971273

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameROBERT SULLIVAN

Location Address1414 9TH AVEAltoona, PA 16602-2415

Mailing Address1414 9th AveAltoona, PA 16602-2415

Phone(814) 946-1655

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1979

Enumeration DateSeptember 19, 2007

Last NPPES UpdateOctober 27, 2021

NPPES CertifiedOctober 27, 2021

✔ NPI 1790971273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD032190E

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.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License MD032190E (PA)

1414 9TH AVE, Altoona, PA 16602

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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

Robert Sullivan 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 ID3375633522

PECOS Enrollment IDI20071212000373

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 8

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

269 services97 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.

261 services150 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

185 services146 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

149 services79 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

93 services62 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

48 services46 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Somerset

Acute Care Hospitals · Somerset, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390039

Location225 South Center AvenueSomerset, PA 15501 · Somerset County

Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390073

Location620 Howard AvenueAltoona, PA 16601 · Blair County

Emergency services Birthing friendly

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390110

Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County

Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390117

Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

73.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.81

Promoting Interoperability

100

Improvement Activities

Cost

42.34

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers39 claims57 services$5.67 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers13 claims13 services$1.04 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$89.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BLAIR MEDICAL ASSOCIATES

Family Medicine

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 949-7621

THEODORE BELIS

Urology

1414 9TH AVE
ALTOONA, PA 16602

Blair County (814) 946-1655

BLAIR MEDICAL ASSOCIATES

Internal Medicine

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

RAPHAEL VOLTZ

Physician Assistant

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

NATASHA D. MCCARTNEY

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

MICHAEL L HUMPHREY D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

BLAIR MEDICAL ASSOCIATES

Podiatrist (Foot & Ankle Surgery)

1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602

Blair County (814) 946-1655

JONATHAN HOLTZ

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

1414 9TH AVE
ALTOONA, PA 16602

Blair County (814) 946-1655

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 Robert Sullivan's NPI number?

The NPI number for Robert Sullivan is 1790971273. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Where is Robert Sullivan located?

Robert Sullivan practices at 1414 9th Ave, Altoona, PA 16602. The listed phone number is (814) 946-1655.

What is Robert Sullivan's specialty?

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

Is Robert Sullivan enrolled in Medicare?

Yes. Robert 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 Robert Sullivan affiliated with any hospitals?

According to CMS data, Robert Sullivan is affiliated with Upmc Somerset, Upmc Altoona, Conemaugh Memorial Medical Center and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Robert Sullivan was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.