MR. JAMES LEAHY SULLIVAN (MD) – Family Medicine Physician, NPI 1538154141
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
954 FAMILY PRACTICE in NE
Provider Addresses for MR. JAMES LEAHY SULLIVAN (MD)
19321, Spyglass Court, Plattsmouth Precinct, Cass County, Nebraska, 68048, United States
PLATTSMOUTH, NE 680487153
Phone: (402) 296-2868
Type: Mailing
680 E Fremont Medical Park Dr
Fremont, NE 680252309
Phone: (402) 727-1091
Fax: (402) 727-7628
Type: Location
680 E FREMONT MEDICAL PARK DR
FREMONT, NE 680252309
Phone: (402) 727-1091
Fax: (402) 727-7628
Type: Location
7100 WEST CENTER RD
OMAHA, NE 681066714
Phone: (402) 506-9000
Fax: (402) 506-9093
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 95 Open Payments records for all available years, with a total value of $1,700.
Total Amount is formed as General ($1,700) + Research ($0) + Ownership ($0) = $1,700.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($252).
Total Amount
$1,700
General + Research + Ownership
Payments
95
Total payment records
General Amount
$1,700
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $252 |
| Amgen Inc. | $251 |
| Lilly USA, LLC | $176 |
| AstraZeneca Pharmaceuticals LP | $171 |
| Astellas Pharma US Inc | $136 |
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: 2006-09-13
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 |
|---|---|---|---|---|
| I20060913000473 | I | Family Practice | NE | 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 | 643 | 355 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 522 | 453 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 482 | 291 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 434 | 105 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 434 | 434 | $0 |
Insurance plans in this area (ZIP 68048)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | NE | |
| Physician Assistant | IA | |
| Physical Therapist In Private Practice | NE | |
| R H E U M A T O L O G Y | NE | |
| Nurse Practitioner | NE | |
| O P T O M E T R Y | NE | |
| - | NE | |
| - | NE | |
| - | NE | |
| Family Practice | NE |
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