DR. JASON MURRAY SULLIVAN (MD) – Ophthalmology Physician, NPI 1528047586

DR. JASON MURRAY SULLIVAN (MD) is a healthcare provider. based in Jackson, Tennessee. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. MD0031354 (TN). The NPI Number for DR. JASON MURRAY SULLIVAN (MD) is 1528047586

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON MURRAY SULLIVAN (MD)
NPI
1528047586
Phone
(731) 424-2414
Address
668 SKYLINE DR
Enumeration Date
10 January 2006
Last Update Date
15 November 2007

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
7314268434
Graduation Year
1995 (31 years ago)
PAC ID
8729298005
Group Practice PAC ID
0042253882
Professional Enrollment ID
I20101112000495
Address ID
TN383013951JA668XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

429 OPHTHALMOLOGY in TN

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Provider Addresses for DR. JASON MURRAY SULLIVAN (MD)

  • 668, Skyline Drive, Hicksville, Jackson, Madison County, Tennessee, 38301, United States

    JACKSON, TN 383013951

    Phone: (731) 424-2414

    Fax: (731) 424-4444

    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 25 Open Payments records for all available years, with a total value of $584.

Total Amount is formed as General ($584) + Research ($0) + Ownership ($0) = $584.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Alcon Vision LLC ($288).

Total Amount

$584

General + Research + Ownership

Payments

25

Total payment records

General Amount

$584

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2010-11-12

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
I20101112000495IOphthalmologyTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,040580$0
92014Established patient complete exam of visual system821782$0
92136Measurement of corneal curvature and depth of eye606224$0
66984Removal of cataract with insertion of prosthetic lens483207$0
92134Imaging of retina420342$0
View full utilization report →

Insurance plans in this area (ZIP 38301)

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Provider's Procedures

DR. JASON MURRAY SULLIVAN (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYTN92012Eye and medical examination for diagnosis and treatment, established patient907573
OPHTHALMOLOGYTN92083Measurement of field of vision during daylight conditions441395
OPHTHALMOLOGYTN92134Diagnostic imaging of retina326266

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: 0042253882View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTN
O P T O M E T R YTN
-TN
O P H T H A L M O L O G YTN
O P T O M E T R YTN
O P T O M E T R YTN
-TN
O P H T H A L M O L O G YAR
O P H T H A L M O L O G YTN

Reviews

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Frequently asked questions

What is the standard ID for DR. JASON MURRAY SULLIVAN (MD) in the U.S.?
In the U.S., DR. JASON MURRAY SULLIVAN (MD) is identified by NPI 1528047586.
Quick check: is DR. JASON MURRAY SULLIVAN (MD) active?
Public NPPES data shows DR. JASON MURRAY SULLIVAN (MD) with an active NPI status right now.
Which specialty label fits DR. JASON MURRAY SULLIVAN (MD)?
NPPES ties DR. JASON MURRAY SULLIVAN (MD) to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. JASON MURRAY SULLIVAN (MD) tied to Jackson, Tennessee?
If you are local to Jackson, Tennessee, DR. JASON MURRAY SULLIVAN (MD) may be relevant to your search.
Who maintains DR. JASON MURRAY SULLIVAN (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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