BECKY LYNN SULLIVAN (PA) – Physician Assistant, NPI 1780051110

BECKY LYNN SULLIVAN (PA) is a healthcare provider. based in Lexington, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA2056 (KY). The NPI Number for BECKY LYNN SULLIVAN (PA) is 1780051110

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
BECKY LYNN SULLIVAN (PA)
NPI
1780051110
Phone
(859) 263-5140
Address
3480 YORKSHIRE MEDICAL PARK
Enumeration Date
2 September 2015
Last Update Date
1 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
4356158822
Graduation Year
2015 (11 years ago)
PAC ID
6901115310
Group Practice PAC ID
2163589391
Professional Enrollment ID
I20250324002119
Address ID
UT840607246PA2200XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for BECKY LYNN SULLIVAN (PA)

  • 3480 YORKSHIRE MEDICAL PARK

    LEXINGTON, KY 405091886

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Mailing

  • 111 Cynthia Dr Ste 139

    Nicholasville, KY 403568062

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 850 Hail Knob Rd Ste B

    Somerset, KY 425033418

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 3401 Yorkshire Medical Park

    Lexington, KY 405092513

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 1868 Plaudit Pl

    Lexington, KY 405092429

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 145 Newcomb Ave

    Mount Vernon, KY 404562728

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 101 Windsor Path

    Georgetown, KY 403249617

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-02-23 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-03-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250324002119IPhysician AssistantUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg38061$0
73562X-ray of knee, 3 views135103$0
20610Aspiration and/or injection of fluid from large joint11285$0
99213Established patient office or other outpatient visit, 20-29 minutes8377$0
73502X-ray of hip, 2-3 views4443$0
View full utilization report →

Insurance plans in this area (ZIP 40509)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163589391View full group profile
NameSpecialtyState
-UT
Orthopedic SurgeryUT
Orthopedic SurgeryUT

Reviews

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Frequently asked questions

Does BECKY LYNN SULLIVAN (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BECKY LYNN SULLIVAN (PA) uses 1780051110.
Is BECKY LYNN SULLIVAN (PA) listed as active for patients and plans?
The listing shows BECKY LYNN SULLIVAN (PA) as active in the NPI system.
What taxonomy line describes BECKY LYNN SULLIVAN (PA)?
For research purposes, treat BECKY LYNN SULLIVAN (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is BECKY LYNN SULLIVAN (PA) based?
BECKY LYNN SULLIVAN (PA) is tied to Lexington, Kentucky in the data we show; additional addresses may exist on the full record.
Is the information about BECKY LYNN SULLIVAN (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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