CAITLIN TARA SULLIVAN (D.O.) – Gastroenterology Physician, NPI 1861758690

CAITLIN TARA SULLIVAN (D.O.) is a healthcare provider. based in Beaver falls, Pennsylvania. specializing in Gastroenterology Physician. They hold the professional credentials D.O.. They hold a License No. OS019257 (PA). The NPI Number for CAITLIN TARA SULLIVAN (D.O.) is 1861758690

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
CAITLIN TARA SULLIVAN (D.O.)
NPI
1861758690
Phone
(724) 891-2100
Address
100 KNOWLSON AVE
Enumeration Date
5 April 2012
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7248912100160
Graduation Year
2012 (14 years ago)
PAC ID
3476771841
Group Practice PAC ID
4688646235
Professional Enrollment ID
I20180719002303

Contacts

Secure Messaging
csullivan168645@direct.wvuhsdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

Provider Addresses for CAITLIN TARA SULLIVAN (D.O.)

  • 100 KNOWLSON AVE

    BEAVER FALLS, PA 150101634

    Phone: (724) 891-2100

    Fax: (724) 891-2734

    Type: Mailing

  • 1601 SW ARCHER RD

    GAINESVILLE, FL 326081197

    Phone: (352) 674-5000

    Type: Mailing

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 $198.

Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: ABBVIE INC. ($106).

Total Amount

$198

General + Research + Ownership

Payments

9

Total payment records

General Amount

$198

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-13

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: 2020-08-05

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180719002303IGastroenterologyPATBD
I20200805000979IGastroenterologyWVTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4949$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4341$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare2828$0
99214Established patient office or other outpatient visit, 30-39 minutes2625$0
99215Established patient office or other outpatient visit, 40-54 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 15010)

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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: 4688646235View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YPA
G A S T R O E N T E R O L O G YPA
G A S T R O E N T E R O L O G YPA
G A S T R O E N T E R O L O G YPA
Physician AssistantPA
Certified Registered Nurse Anesthetist (Crna)PA
Physician AssistantPA
-OH
Physician AssistantPA
Physician AssistantPA

Reviews

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Frequently asked questions

How is CAITLIN TARA SULLIVAN (D.O.) identified in CMS data?
CMS-hosted NPPES data lists CAITLIN TARA SULLIVAN (D.O.) with NPI 1861758690.
Is CAITLIN TARA SULLIVAN (D.O.) listed as active for patients and plans?
The listing shows CAITLIN TARA SULLIVAN (D.O.) as active in the NPI system.
What is CAITLIN TARA SULLIVAN (D.O.) best known for clinically?
Directory data describes CAITLIN TARA SULLIVAN (D.O.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What area does CAITLIN TARA SULLIVAN (D.O.) serve?
CAITLIN TARA SULLIVAN (D.O.)'s listing highlights Beaver Falls, Pennsylvania; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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