SCOTT R SULLIVAN DDS, MD
NPI 1972134567
Dentist - Oral and Maxillofacial Surgery in Springfield, MO
About Scott R Sullivan Dds, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT R SULLIVAN DDS, MD (NPI 1972134567) is an individual oral and maxillofacial surgery provider in Springfield, Missouri, licensed in Missouri (2025018574) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Scott R Sullivan Dds, 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.
Medicare Billing Reassignment
Medicare enrollment records show Scott Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
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 Scott Sullivan's NPI number?
The NPI number for Scott Sullivan is 1972134567. It was assigned to this individual provider in the NPPES registry on February 1, 2020.
Where is Scott Sullivan located?
Scott Sullivan practices at 1103 E Montclair St, Springfield, MO 65807. The listed phone number is (316) 616-8157.
What is Scott Sullivan's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Scott Sullivan enrolled in Medicare?
Yes. Scott 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.
Which organization bills Medicare for Scott Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Sullivan reassigns Medicare benefits to Gipson, Arquitt, Meyer And Shaner DDS, PC (Springfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Scott Sullivan accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 8 other insurers list Scott 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 Scott Sullivan was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Scott R Sullivan, DDS, MD · NPI 1972134567
Oral and Maxillofacial Surgery provider in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since February 1, 2020.
## Identity
- **NPI:** 1972134567 (Entity type: Individual)
- **Enumerated:** February 1, 2020
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 2025018574 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1103 E MONTCLAIR ST, Springfield, MO 65807-5076
- **Phone:** (316) 616-8157
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gipson, Arquitt, Meyer And Shaner DDS, PC (NPI 1801091657, Springfield, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Kansas City, School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** February 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972134567) · Data from the CMS NPPES public registry.