AMY E SULLIVAN MD
NPI 1922028166
Obstetrics & Gynecology - Maternal & Fetal Medicine in Salt Lake City, UT

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
95.91/100
CMS Quality Rating
UNIVERSITY OF UTAH HOSPITAL CLINICS DEPT OF OB/GYN, 50 NORTH MEDICAL DRIVE, SALT LAKE CITY, UT 84132(801) 581-8425 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy E Sullivan Md NPPES

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

AMY E SULLIVAN MD (NPI 1922028166) is an individual maternal & fetal medicine provider in Salt Lake City, Utah, licensed in Utah (47390351205) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (1996).

NPPES Registry Identity

NPI1922028166
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameAMY E SULLIVANCredential: MD
Location AddressUNIVERSITY OF UTAH HOSPITAL CLINICS DEPT OF OB/GYN, 50 NORTH MEDICAL DRIVESalt Lake City, UT 84132-0001
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 581-8425
Sole ProprietorYes
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1996
Enumeration DateJuly 20, 2006
Last NPPES UpdateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
NPI 1922028166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License Licensed in UT · 47390351205
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
UNIVERSITY OF UTAH HOSPITAL CLINICS DEPT OF OB/GYN, Salt Lake City, UT 84132

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 and accepts Medicare assignment

Amy E Sullivan Md 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 ID3971409806
PECOS Enrollment IDI20031210000839
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 84132 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

95.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.58
Promoting Interoperability100
Improvement Activities40

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 Amy Sullivan's NPI number?

The NPI number for Amy Sullivan is 1922028166. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Amy Sullivan located?

Amy Sullivan practices at University Of Utah Hospital Clinics Dept Of Ob/Gyn 50 North Medical Drive, Salt Lake City, UT 84132. The listed phone number is (801) 581-8425.

What is Amy Sullivan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Amy Sullivan enrolled in Medicare?

Yes. Amy 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.

What insurance does Amy Sullivan accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Amy 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.

When was this NPI record last updated?

The NPPES record for Amy Sullivan was last updated on November 23, 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.