CODY SULLIVAN MD
NPI 1922531458
Internal Medicine in Paducah, KY

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
69.85/100
CMS Quality Rating
1530 LONE OAK RD, PADUCAH, KY 42003(270) 444-2444 Get Directions Write a Review

NPPES record last updated: April 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2026, Sep 28, 2022, Mar 22, 2019 and 1 more (4 updates tracked since 2017).

About Cody Sullivan Md NPPES

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

CODY SULLIVAN MD (NPI 1922531458) is an individual internal medicine provider in Paducah, Kentucky, licensed in Kentucky (57052) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Heartland Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922531458
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCODY SULLIVANCredential: MD
Location Address1530 LONE OAK RDPaducah, KY 42003-7900
Mailing Address550 S Jackson St Fl 3Louisville, KY 40202-1622 · (502) 852-5666
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2019
Enumeration DateApril 11, 2017
Last NPPES UpdateApril 19, 20264 updates tracked since enumeration
NPPES CertifiedApril 19, 2026
NPI 1922531458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in KY · 57052 Licensed in IL · 036.165650
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.
1530 LONE OAK RD, Paducah, KY 42003

Secondary Practice Locations 2

Location 1500 S Preston St, room 305Louisville, KY 40202-1702 · Phone (502) 852-8696
Location 2550 S Jackson St Fl 3Louisville, KY 40202-1622 · Phone (502) 852-5666

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

Cody 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 ID1456764588
PECOS Enrollment IDI20220728000961, I20230823004526
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 5

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 moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
678 services239 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
235 services222 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.
79 services42 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
62 services59 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180102
Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

69.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.55
Cost68.12

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.

Emergency Medicine
1530 LONE OAK RD
PADUCAH, KY 42003
Emergency Medicine
1530 LONE OAK RD
PADUCAH, KY 42003
Hospitalist
1530 LONE OAK RD
PADUCAH, KY 42003
Hospitalist
1530 LONE OAK RD
PADUCAH, KY 42003
Nurse Anesthetist, Certified Registered
1530 LONE OAK RD
PADUCAH, KY 42003
Pharmacist (Pharmacotherapy)
1530 LONE OAK RD
PADUCAH, KY 42003
Emergency Medicine
1530 LONE OAK RD
PADUCAH, KY 42003
Nurse Practitioner (Acute Care)
1530 LONE OAK RD
PADUCAH, KY 42003

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 Cody Sullivan's NPI number?

The NPI number for Cody Sullivan is 1922531458. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Cody Sullivan located?

Cody Sullivan practices at 1530 Lone Oak Rd, Paducah, KY 42003. The listed phone number is (270) 444-2444.

What is Cody Sullivan's specialty?

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

Is Cody Sullivan enrolled in Medicare?

Yes. Cody 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 Cody Sullivan affiliated with any hospitals?

According to CMS data, Cody Sullivan is affiliated with Heartland Regional Medical Center and Mercy Health - Lourdes Hospital.

When was this NPI record last updated?

The NPPES record for Cody Sullivan was last updated on April 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.