JAMES J. SULLIVAN (MD) – Emergency Medicine Physician, NPI 1730161308
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,682 EMERGENCY MEDICINE in MA
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Provider Addresses for JAMES J. SULLIVAN (MD)
60 HOSPITAL RD WACHUSETT EMERGENCY PHYSICIANS PC
LEOMINSTER, MA 01453
Phone: (978) 466-2580
Fax: (978) 466-2993
Type: Mailing
Umass Memorial-Healthalliance Hospital, 60, Hospital Road, West Leominster, Leominster, Worcester County, Massachusetts, 01453, United States
UMASS MEMORIAL HEALTH ALLIANCE CLINTON HOSPITAL
LEOMINSTER, MA 01453
Phone: (978) 466-2451
Fax: (978) 466-2570
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-02-28
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 |
|---|---|---|---|---|
| I20040228000245 | I | Emergency Medicine | MA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 152 | 151 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 139 | 127 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 59 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 60 | 11 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 58 | 53 | $0 |
Insurance plans in this area (ZIP 01453)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MA | |
| Internal Medicine | MA | |
| - | MA | |
| - | MA | |
| Emergency Medicine | MA | |
| Physical Therapist In Private Practice | MA | |
| Physician Assistant | MA | |
| Family Practice | MA | |
| Clinical Psychologist | MA | |
| - | MA |
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