MARTIN J SULLIVAN MD
NPI 1992817126
Internal Medicine - Cardiovascular Disease in Hendersonville, NC

Q: What is Martin Sullivan's NPI number?

The NPI number for Martin Sullivan is 1992817126. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is Martin Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Martin Sullivan was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment

50 HOSPITAL DR, SUITE 3B2, HENDERSONVILLE, NC 28792(828) 687-0088(828) 684-6693 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2021, Mar 24, 2020, Jul 11, 2016 (3 updates tracked since 2016).

On this page

About Martin J Sullivan Md NPPES

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

MARTIN J SULLIVAN MD (NPI 1992817126) is an individual cardiovascular disease provider in Hendersonville, North Carolina, licensed in North Carolina (29044) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1992817126

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMARTIN J SULLIVANCredential: MD

Location Address50 HOSPITAL DR, SUITE 3B2Hendersonville, NC 28792-5248

Mailing AddressPo Box 1869Fletcher, NC 28732-1869 · (828) 687-5616 · Fax (828) 650-8076

Phone(828) 687-0088

Fax(828) 684-6693

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1980

Enumeration DateSeptember 1, 2006

Last NPPES UpdateApril 1, 20213 updates tracked since enumeration

NPPES CertifiedApril 1, 2021

✔ NPI 1992817126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in NC · 29044✔ Licensed in MO · 2003000087✔ Licensed in TN · 45065

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

50 HOSPITAL DR, Hendersonville, NC 28792

Open in Google Maps ↗

Secondary Practice Locations 3

Location 12962 Sweetleaf LnJohns Island, SC 29455-6710 · Phone (828) 430-3511

Location 2127 Wamsutta Mill Rd Ste DMorganton, NC 28655-5523 · Phone (828) 430-3511

Location 3709 N Justice St Ste AHendersonville, NC 28791-3455 · Phone (828) 697-7377 · Fax (828) 697-7380

Other Identifiers 4

Medicaid1514006TN

Other10001627200MO · Community Health Plan

Medicaid203715016MO

Other4230692TN · Bcbst

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Martin J 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 ID4981685617

PECOS Enrollment IDI20090515000211, I20170607000895

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.

Medicare Billing Reassignments

Medicare enrollment records show Martin Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henderson County Hospital Corporation

3.9 mi

Federally Qualified Health Center (FQHC)

2775 HENDERSONVILLE RD
Arden, NC 28704

Reassigned Medicare billing, North Carolina enrollment
401 clinicians in this Medicare group

NPI 1619606316 (828) 694-8900

Imaging Partners PLLC

50 mi

Diagnostic Radiology

125 WAMSUTTA MILL RD STE C
Morganton, NC 28655

Reassigned Medicare billing, North Carolina and South Carolina enrollments
18 clinicians in this Medicare group

NPI 1184020547 (828) 430-3511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

3,511 services2,463 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.

846 services521 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

398 services389 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

262 services258 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.

136 services136 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

135 services129 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

107 services107 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

98 services98 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

94 services94 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.

86 services79 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

69 services69 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

61 services41 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

55 services37 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

54 services27 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services26 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

27 services27 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

20 services18 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

20 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

18 services18 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340017

Location800 N Justice StHendersonville, NC 28791 · Henderson County

Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340023

Location100 Hospital DriveHendersonville, NC 28792 · Henderson County

Emergency services Birthing friendly

St Lukes Hospital

Critical Access Hospitals · Columbus, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number341322

Location101 Hospital DriveColumbus, NC 28722 · Polk County

Emergency services

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28792 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

JOSEPH R DESANTOLA MD

Internal Medicine (Cardiovascular Disease)

50 HOSPITAL DR, SUITE 3B2
HENDERSONVILLE, NC 28792

Henderson County (828) 687-0088

MS. CATHERINE TAMBRONI-PARKER CNM

Advanced Practice Midwife

50 HOSPITAL DR, SUITE 4A
HENDERSONVILLE, NC 28792

Henderson County (828) 650-8077

WILLIAM DEAL SANDBORN M.D.

Psychiatry & Neurology (Psychiatry)

50 HOSPITAL DR, SUITE 5 A
HENDERSONVILLE, NC 28792

Henderson County (828) 684-1115

MELISA G HARRINGTON M.D.

Internal Medicine (Nephrology)

50 HOSPITAL DR, SUITE 5B
HENDERSONVILLE, NC 28792

Henderson County (828) 651-8864

MOUNTAIN VIEW UROLOGICAL, PA

Urology

50 HOSPITAL DR, SUITE 2A
HENDERSONVILLE, NC 28792

Henderson County (828) 654-6015

BARBARA FRANCES MELVIN MD

Pediatrics

50 HOSPITAL DR, STE 5D
HENDERSONVILLE, NC 28792

Henderson County (828) 650-8032

GARY C PRECHTER M.D.

Internal Medicine (Pulmonary Disease)

50 HOSPITAL DR, SUITE 1C
HENDERSONVILLE, NC 28792

Henderson County (828) 687-9758

CLIFFORD PAUL JOHNSON M.D.

Urology

50 HOSPITAL DR, SUITE 2A
HENDERSONVILLE, NC 28792

Henderson County (828) 654-6015

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 Martin Sullivan's NPI number?

The NPI number for Martin Sullivan is 1992817126. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Martin Sullivan located?

Martin Sullivan practices at 50 Hospital Dr Suite 3b2, Hendersonville, NC 28792. The listed phone number is (828) 687-0088.

What is Martin Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Martin Sullivan enrolled in Medicare?

Yes. Martin 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 organizations bill Medicare for Martin Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Sullivan reassigns Medicare benefits to 2 organizations: Henderson County Hospital Corporation (Arden, NC) and Imaging Partners PLLC (Morganton, NC). Each 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 Martin Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martin Sullivan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Martin 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 Martin Sullivan affiliated with any hospitals?

According to CMS data, Martin Sullivan is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, Margaret R Pardee Memorial Hospital, Adventhealth Hendersonville, St Lukes Hospital and Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Martin Sullivan was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.