PEGGY ANN SULLIVAN MD
NPI 1861453664
Family Medicine in Cottage Grove, MN

Active since March 31, 2006PECOS Enrolled
6936 PINE ARBOR DR S STE 100, COTTAGE GROVE, MN 55016(651) 326-5800(651) 326-5802 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peggy Ann Sullivan Md NPPES

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

PEGGY ANN SULLIVAN MD (NPI 1861453664) is an individual family medicine provider in Cottage Grove, Minnesota, licensed in Minnesota (37542) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861453664
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePEGGY ANN SULLIVANCredential: MD
Location Address6936 PINE ARBOR DR S STE 100Cottage Grove, MN 55016-4661
Mailing Address6936 Pine Arbor Dr S Ste 100Cottage Grove, MN 55016-4661 · (651) 326-5800 · Fax (651) 326-5802
Fax(651) 326-5802
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateJune 26, 2012
✔ NPI 1861453664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 37542
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6936 PINE ARBOR DR S STE 100, Cottage Grove, MN 55016

Other Names 1

Former Name (1)Peggy Ann Sullivan Murtaugh Md

Other Identifiers 3

Medicare UPINF84680
Medicare ID-Type Unspecified080004482
Medicaid587017800MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peggy Ann Sullivan Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Peggy Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
6936 PINE ARBOR DRIVE SOUTH, SUITE 100
Cottage Grove, MN 55016
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Family Medicine
8611 W POINT DOUGLAS RD S
Cottage Grove, MN 55016
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55016 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES

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

Physician Assistant
6936 PINE ARBOR DR S STE 100
COTTAGE GROVE, MN 55016

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 Peggy Sullivan's NPI number?

The NPI number for Peggy Sullivan is 1861453664. It was assigned to this individual provider in the NPPES registry on March 31, 2006. The provider is also known as Peggy Ann Sullivan Murtaugh MD.

Where is Peggy Sullivan located?

Peggy Sullivan practices at 6936 Pine Arbor Dr S Ste 100, Cottage Grove, MN 55016. The listed phone number is (651) 326-5800.

What is Peggy Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Peggy Sullivan enrolled in Medicare?

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

Which organizations bill Medicare for Peggy Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peggy Sullivan reassigns Medicare benefits to 2 organizations: Healtheast Medical Research Institute (Cottage Grove, MN) and Allina Health System (Cottage Grove, MN). Each 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 Peggy Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peggy Sullivan was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.