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MATTHEW J SULLIVAN PA-C
NPI 1922653179
Physician Assistant in Andover, MA

Active since August 05, 2019PECOS EnrolledAccepts Medicare Assignment
323 LOWELL ST, ANDOVER, MA 01810(978) 794-1946 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, May 26, 2020, Aug 5, 2019 (3 updates tracked since 2019).

About Matthew J Sullivan Pa-c NPPES

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

MATTHEW J SULLIVAN PA-C (NPI 1922653179) is an individual physician assistant in Andover, Massachusetts, licensed in Massachusetts (PA7371) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922653179
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW J SULLIVANCredential: PA-C
Location Address323 LOWELL STAndover, MA 01810-4659
Mailing Address575 Turnpike St Ste 11North Andover, MA 01845-5937 · (978) 794-1946
Phone(978) 794-1946
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 5, 2019
Last NPPES UpdateMay 7, 20243 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1922653179 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 MA · PA7371
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.
323 LOWELL ST, Andover, MA 01810
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1693 Salem StGroveland, MA 01834-1034 · Phone (978) 808-1147
Location 216 Pelham Rd Ste 1Salem, NH 03079-3077 · Phone (978) 794-1946

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.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

Matthew J Sullivan Pa-c 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 ID2365871951
PECOS Enrollment IDI20200402001156, I20200624001253
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 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
382 services71 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.
188 services129 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
92 services61 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.
70 services57 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
47 services35 patients

Hospital Affiliations CMS Care Compare

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01810 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

COMMUNITY MEDICAL ASSOCIATES, INC.
Surgery
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 683-4000
LISA MARCHAND N.P.
Nurse Practitioner
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 783-5000
MADHAVI CHALLAGULLA MD
Internal Medicine
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 783-5000
ALEXSIS WALTER CNP
Nurse Practitioner (Women's Health)
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 475-2731
KELLY CZWORKA NP
Nurse Practitioner
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 783-5000
LAURA ENOS NP
Nurse Practitioner (Family)
323 LOWELL ST, ANDOVER MEDICAL CENTER & EXPRESSCARE
ANDOVER, MA 01810
Essex County (978) 783-5000
KELVEY RICHARDS
Physician Assistant
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 794-1946
DR. STEVEN JASON ANDRIOLA M.D.
Orthopaedic Surgery
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 794-1946

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 Matthew Sullivan's NPI number?

The NPI number for Matthew Sullivan is 1922653179. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Matthew Sullivan located?

Matthew Sullivan practices at 323 Lowell St, Andover, MA 01810. The listed phone number is (978) 794-1946.

What is Matthew Sullivan's specialty?

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

Is Matthew Sullivan enrolled in Medicare?

Yes. Matthew 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 Matthew Sullivan accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Matthew 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.

Is Matthew Sullivan affiliated with any hospitals?

According to CMS data, Matthew Sullivan is affiliated with Lawrence General Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Sullivan was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.