SABRA SULLIVAN (M.D., PHD.) – Procedural Dermatology Physician, NPI 1932176641
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
94 DERMATOLOGY in MS
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Provider Addresses for SABRA SULLIVAN (M.D., PHD.)
The Colonnades, 501, Marshall Street, Jackson, Hinds County, Mississippi, 39202, United States
SUITE 606
JACKSON, MS 392021651
Phone: (601) 355-8555
Fax: (601) 355-2244
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $169.
Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Almirall LLC ($65).
Total Amount
$169
General + Research + Ownership
Payments
9
Total payment records
General Amount
$169
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Almirall LLC | $65 |
| E.R. Squibb & Sons, L.L.C. | $51 |
| VERRICA PHARMACEUTICALS INC. | $24 |
| Tempus AI, Inc | $15 |
| Galderma Laboratories, L.P. | $13 |
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: 2011-01-06
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 |
|---|---|---|---|---|
| I20110106000666 | I | Dermatology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 436 | 300 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 407 | 208 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 336 | 242 | $0 |
| 11104 | Punch biopsy, first skin growth | 171 | 129 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 106 | 69 | $0 |
Insurance plans in this area (ZIP 39202)
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