DR. KATHLEEN CAMPBELL SULLIVAN (MD) – Hospitalist Physician, NPI 1801022967

DR. KATHLEEN CAMPBELL SULLIVAN (MD) is a healthcare provider. based in Springfield, Oregon. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. LL18647 (OR). The NPI Number for DR. KATHLEEN CAMPBELL SULLIVAN (MD) is 1801022967

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHLEEN CAMPBELL SULLIVAN (MD)
NPI
1801022967
Phone
(541) 222-6389
Address
PEACEHEALTH HOSPITAL MEDICINE
Enumeration Date
3 June 2009
Last Update Date
1 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
5412226113
Graduation Year
2009 (17 years ago)
PAC ID
0244489102
Group Practice PAC ID
8527016039
Professional Enrollment ID
I20170317001701
Address ID
OR974778800SP3355XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:17State licenses:3Digital endpointsOther names

2,475 INTERNAL MEDICINE in OR

Provider Addresses for DR. KATHLEEN CAMPBELL SULLIVAN (MD)

  • PEACEHEALTH HOSPITAL MEDICINE

    3377 RIVERBEND DRIVE

    SPRINGFIELD, OR 974778803

    Phone: (541) 222-6389

    Fax: (541) 222-6385

    Type: Mailing

  • 3911, Avenue B, Scottsbluff, Scotts Bluff County, Nebraska, 69361, United States

    SUITE 2100

    SCOTTSBLUFF, NE 693614617

    Phone:

    Type: Mailing

  • Regional West Medical Center, 4021, Avenue B, Scottsbluff, Scotts Bluff County, Nebraska, 69361, United States

    SCOTTSBLUFF, NE 693614602

    Phone: (308) 630-2920

    Fax: (308) 630-1890

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: ABBVIE INC. ($102).

Total Amount

$199

General + Research + Ownership

Payments

3

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-03-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170317001701IInternal MedicineORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12771$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7471$0
99239Hospital discharge day management, more than 30 minutes7070$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5655$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 97477)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527016039View full group profile
NameSpecialtyState
Clinical PsychologistMT
Internal MedicineOR
Internal MedicineOR
Hospitalist, Family Practice, Family PracticeCO
Psychiatry, NeurologyNH
Internal MedicineFL
-NY
Interventional Cardiology, Cardiovascular Disease (Cardiology)OR
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA
Internal MedicineOR

Reviews

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Frequently asked questions

Can I verify DR. KATHLEEN CAMPBELL SULLIVAN (MD) with an NPI only?
You can start verification with NPI 1801022967 for DR. KATHLEEN CAMPBELL SULLIVAN (MD), then check state licensing separately.
Does CMS list DR. KATHLEEN CAMPBELL SULLIVAN (MD) as active?
Yes — DR. KATHLEEN CAMPBELL SULLIVAN (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. KATHLEEN CAMPBELL SULLIVAN (MD)?
For research purposes, treat DR. KATHLEEN CAMPBELL SULLIVAN (MD) as Hospitalist Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KATHLEEN CAMPBELL SULLIVAN (MD) on a map?
Expect Springfield, Oregon as a primary anchor for DR. KATHLEEN CAMPBELL SULLIVAN (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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