JOHN PATRICK SULLIVAN M.D.
NPI 1952368557
Radiology - Diagnostic Radiology in Marquette, MI

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
87.25/100
CMS Quality Rating
850 W BARAGA AVE, MARQUETTE, MI 49855(906) 449-3000 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John Patrick Sullivan M.d. NPPES

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

JOHN PATRICK SULLIVAN M.D. (NPI 1952368557) is an individual diagnostic radiology provider in Marquette, Michigan, licensed in Kentucky (39464) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1952368557
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOHN PATRICK SULLIVANCredential: M.D.
Location Address850 W BARAGA AVEMarquette, MI 49855-4550
Mailing Address1218 S Broadway, Suite 310Lexington, KY 40504-2759 · (859) 219-0542 · Fax (859) 219-9433
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 27, 2006
Last NPPES UpdateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
NPI 1952368557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in KY · 39464
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
850 W BARAGA AVE, Marquette, MI 49855

Secondary Practice Location 1

Location 11218 S BROADWAY, SUITE 310Lexington, KY 40504-2759 · Phone (859) 219-0542 ext. 222 · Fax (859) 219-9433

Other Identifiers 1

Medicaid64098940KY

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

John Patrick 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 ID1557306198
PECOS Enrollment IDI20140818001285, I20180711001226, I20191223001517, I20201104002264, I20210105002363, I20230313000005, I20231117000862
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 47

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,450 services1,390 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
622 services618 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
388 services384 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
371 services371 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
234 services234 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
210 services207 patients

Hospital Affiliations CMS Care Compare 5

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320018
Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Carlsbad Medical Center

Acute Care Hospitals · Carlsbad, NM
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number320063
Location2430 West Pierce StreetCarlsbad, NM 88220 · Eddy County
Emergency services Birthing friendly

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

87.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%28 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospitalist
850 W BARAGA AVE
MARQUETTE, MI 49855
Physician Assistant
850 W BARAGA AVE
MARQUETTE, MI 49855
Radiology (Diagnostic Radiology)
850 W BARAGA AVE
MARQUETTE, MI 49855
Emergency Medicine
850 W BARAGA AVE
MARQUETTE, MI 49855
Nurse Practitioner (Family)
850 W BARAGA AVE
MARQUETTE, MI 49855
Nurse Practitioner
850 W BARAGA AVE
MARQUETTE, MI 49855
Pediatrics (Neonatal-Perinatal Medicine)
850 W BARAGA AVE
MARQUETTE, MI 49855
Nurse Practitioner (Gerontology)
850 W BARAGA AVE
MARQUETTE, MI 49855

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 1952368557. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is John Sullivan located?

John Sullivan practices at 850 W Baraga Ave, Marquette, MI 49855. The listed phone number is (906) 449-3000.

What is John Sullivan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

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 Baylor Scott and White Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas 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 Owensboro Health Regional Hospital, Memorial Medical Center, Carlsbad Medical Center, St Francis Hospital - The Heart Center and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on August 3, 2022. 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.