MONICA K SULLIVAN (MD) – Family Medicine Physician, NPI 1023257086
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MONICA K SULLIVAN (MD)
2156 CHAMBER CENTER DR
LAKESIDE PARK, KY 410171669
Phone: (859) 341-6255
Fax: (859) 547-1197
Type: Location
2156 CHAMBER CENTER DRIVE
LAKE SIDE PARK, KY 410175446
Phone: (859) 341-6255
Fax: (859) 547-1197
Type: Mailing
1955 DIXIE HWY STE N
FT WRIGHT, KY 410112792
Phone: (859) 341-6255
Fax: (859) 547-1197
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $512.
Total Amount is formed as General ($512) + Research ($0) + Ownership ($0) = $512.
Last reported payment date: 2024-07-12 • Largest payer in this snapshot: ABBVIE INC. ($474).
Total Amount
$512
General + Research + Ownership
Payments
31
Total payment records
General Amount
$512
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $474 |
| Inspire Medical Systems, Inc. | $25 |
| Pulmonx Corporation | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-01-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110121000360 | I | Family Practice | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 166 | 105 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 67 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 98 | 98 | $0 |
| G0008 | Administration of influenza virus vaccine | 31 | 31 | $0 |
| 99421 | Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes | 28 | 24 | $0 |
Insurance plans in this area (ZIP 41017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Internal Medicine | OH | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | OH | |
| P S Y C H I A T R Y | OH | |
| - | KY | |
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| Family Practice | OH | |
| - | KY |
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