MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C) – Physician Assistant, NPI 1639320336
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
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Provider Addresses for MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C)
6, Dover Circle, Franklin, Norfolk County, Massachusetts, United States
FRANKLIN, MA 020381548
Phone: (508) 212-2838
Type: Mailing
2, Fogg Road, South Weymouth, Weymouth, Norfolk County, Massachusetts, 02190, United States
WEYMOUTH, MA 02190
Phone: (781) 624-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2023-07-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($33).
Total Amount
$33
General + Research + Ownership
Payments
2
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $33 |
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: 2015-10-08
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 |
|---|---|---|---|---|
| I20151008001585 | I | Physician Assistant | FL | 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 | 249 | 246 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 136 | 136 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 117 | 62 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 67 | 67 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 65 | 64 | $0 |
Insurance plans in this area (ZIP 02038)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| General Practice | OH | |
| Physician Assistant | FL | |
| Emergency Medicine | FL | |
| Physician Assistant | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Physician Assistant | NY | |
| Nurse Practitioner | MT | |
| General Practice, Emergency Medicine | FL | |
| Emergency Medicine | FL |
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