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MARK SULLIVAN PA
NPI 1821046921
Physician Assistant in Clifton Park, NY

Active since May 04, 2006PECOS Enrolled
1 TALLOW WOOD DR, CLIFTON PARK, NY 12065(518) 373-4444(518) 373-0663 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Sullivan Pa NPPES

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

MARK SULLIVAN PA (NPI 1821046921) is an individual physician assistant in Clifton Park, New York, licensed in New York (004099) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821046921
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK SULLIVANCredential: PA
Location Address1 TALLOW WOOD DRClifton Park, NY 12065-2807
Mailing Address4 Palisades DrAlbany, NY 12205-1449 · (518) 591-1121
Phone(518) 373-4444
Fax(518) 373-0663
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 7, 2015
✔ NPI 1821046921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 004099
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 TALLOW WOOD DR, Clifton Park, NY 12065
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Other Identifiers 4

Medicare UPINR89975NY
Medicare PINPA0363NY
Medicaid02347280NY
Medicare PINPA0919NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Sullivan Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12065 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

STEVEN J BALSAMO DO
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4500
ERIN KATHRYN STUDENT NP
Nurse Practitioner (Family)
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4444
MATTHEW CUNNINGHAM MD
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4500
WILLIAM RAYMOND FIELDING P.A.
Physician Assistant
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4500
NEEMA R. AFEJUKU-ADELAJA M.D.
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4444
BERNICE MCLELLAN CNM
Advanced Practice Midwife
1 TALLOW WOOD DR, SUITE 2
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4555
HOLLY DENISE PAYNE M.D.
Pediatrics
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 688-0295
SETON HEALTH SYSTEM
General Acute Care Hospital
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 688-0295

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 Mark Sullivan's NPI number?

The NPI number for Mark Sullivan is 1821046921. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Mark Sullivan located?

Mark Sullivan practices at 1 Tallow Wood Dr, Clifton Park, NY 12065. The listed phone number is (518) 373-4444.

What is Mark Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Sullivan was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.