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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN P SULLIVAN M.D.
NPI 1942294095
Orthopaedic Surgery in Vero Beach, FL

Active since September 06, 2005PECOS Enrolled
1040 37TH PL STE 202, VERO BEACH, FL 32960(315) 790-9317 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, May 19, 2026, Mar 31, 2025 (3 updates tracked since 2025).

About Dr. John P Sullivan M.d. NPPES

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

DR. JOHN P SULLIVAN M.D. (NPI 1942294095) is an individual orthopaedic surgery provider in Vero Beach, Florida, licensed in Florida (ME165012) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Sebastian River Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1942294095
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN P SULLIVANCredential: M.D.
Location Address1040 37TH PL STE 202Vero Beach, FL 32960-4818
Mailing Address1040 37th Pl Ste 202Vero Beach, FL 32960-4818 · (772) 226-8224 · Fax (772) 226-8225
Phone(315) 790-9317
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 6, 2005
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1942294095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in FL · ME165012✔ Licensed in NY · 225344
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1040 37TH PL STE 202, Vero Beach, FL 32960
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Secondary Practice Locations 4

Location 11729 Burrstone RdNew Hartford, NY 13413-1001 · Phone (315) 798-1700 · Fax (315) 798-1707
Location 213000 US Highway 1 Ste 5Sebastian, FL 32958-3773 · Phone (772) 581-5881 · Fax (772) 581-5883
Location 31000 36th StVero Beach, FL 32960-4862 · Phone (772) 567-4311
Location 41325 36th St Ste BVero Beach, FL 32960-6599 · Phone (772) 778-3113

Other Identifiers 2

Medicaid121024600FL
Medicaid02550362NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Dr. John P Sullivan M.d. 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 ID2062485543
PECOS Enrollment IDI20040813000317, I20240131000033
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 8

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.
76 services14 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.
42 services36 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
35 services19 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.
35 services35 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
19 services14 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Sebastian River Medical Center

Acute Care Hospitals · Sebastian, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100217
Location13695 Us Hwy 1Sebastian, FL 32958 · Indian River County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32960 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers15 claims15 services$102.16 avg. paid by Medicare
Pneumatic full leg splint, prefabricated, off-the-shelf L4370
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$147.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

ORTHO FLORIDA, LLC
Orthopaedic Surgery
1040 37TH PL STE 202
VERO BEACH, FL 32960
Indian River County (772) 226-8224

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 John Sullivan's NPI number?

The NPI number for John Sullivan is 1942294095. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is John Sullivan located?

John Sullivan practices at 1040 37th Pl Ste 202, Vero Beach, FL 32960. The listed phone number is (315) 790-9317.

What is John Sullivan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Sullivan enrolled in Medicare?

Yes. John 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 John Sullivan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list John 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 John Sullivan affiliated with any hospitals?

According to CMS data, John Sullivan is affiliated with Sebastian River Medical Center.

When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.