DR. JOHN MAGRUDER III SULLIVAN (MD) – Plastic and Reconstructive Surgery Physician, NPI 1043872948
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
55 PLASTIC AND RECONSTRUCTIVE SURGERY in MS
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Provider Addresses for DR. JOHN MAGRUDER III SULLIVAN (MD)
37 ENCLAVE CIR
RIDGELAND, MS 391574522
Phone: (601) 953-3304
Type: Mailing
University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States
JACKSON, MS 392164500
Phone: (601) 984-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $4,114.
Total Amount is formed as General ($4,114) + Research ($0) + Ownership ($0) = $4,114.
Last reported payment date: 2024-12-08 • Largest payer in this snapshot: Skeletal Dynamics Inc ($1,092).
Total Amount
$4,114
General + Research + Ownership
Payments
51
Total payment records
General Amount
$4,114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Skeletal Dynamics Inc | $1,092 |
| Integra LifeSciences Corporation | $738 |
| KLS-Martin L.P. | $497 |
| DePuy Synthes Sales Inc. | $325 |
| Davol Inc. | $159 |
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: 2025-06-02
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 |
|---|---|---|---|---|
| I20250602003624 | I | Plastic And Reconstructive Surgery | MS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 39157)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MS | |
| Nurse Practitioner | MS | |
| N E P H R O L O G Y | MS | |
| Pediatric Medicine | MS | |
| Interventional Cardiology | MS | |
| Nurse Practitioner | MS | |
| Cardiovascular Disease (Cardiology) | KY | |
| Clinical Psychologist | MS | |
| Internal Medicine | MS | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology | IL |
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