SCOTT F SULLIVAN (PA) – Physician Assistant, NPI 1477592988
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
773 PHYSICIAN ASSISTANT in RI
Provider Addresses for SCOTT F SULLIVAN (PA)
PROVIDER ENROLLMENT 41 MALL ROAD
BURLINGTON, MA 018050001
Phone:
Type: Mailing
450 VETERANS MEMORIAL PKWY # 15B
EAST PROVIDENCE, RI 029145300
Phone: (401) 434-3350
Fax: (401) 434-5230
Type: Location
118 Dudley St
Providence, RI 029052403
Phone: (401) 273-4155
Fax: (401) 273-4115
Type: Location
41 Mall Rd
Burlington, MA 018052403
Phone: (781) 744-8000
Type: Location
118, Dudley Street, Providence, Providence County, Rhode Island, 02905, United States
SUITE 400
PROVIDENCE, RI 029052403
Phone: (401) 273-4155
Fax: (401) 272-1456
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $1,452.
Total Amount is formed as General ($1,452) + Research ($0) + Ownership ($0) = $1,452.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($176).
Total Amount
$1,452
General + Research + Ownership
Payments
60
Total payment records
General Amount
$1,452
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $176 |
| ABBVIE INC. | $155 |
| Vanda Pharmaceuticals Inc. | $144 |
| Exact Sciences Corporation | $130 |
| GlaxoSmithKline, LLC. | $118 |
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: 2008-05-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040816000799 | I | Physician Assistant | MA | TBD |
| I20080522000060 | I | Physician Assistant | RI | 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 | 60 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 15 | $0 |
Insurance plans in this area (ZIP 01805)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Physician Assistant | RI | |
| Internal Medicine | RI | |
| Physician Assistant | RI | |
| Family Practice, Pulmonary Disease | RI | |
| Nurse Practitioner | RI | |
| Physician Assistant | NY | |
| Nurse Practitioner | RI | |
| Physician Assistant | RI | |
| Family Practice, Internal Medicine | RI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.