SCOTT SULLIVAN (M.D.) – Ophthalmology Physician, NPI 1689100471
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
429 OPHTHALMOLOGY in TN
Provider Addresses for SCOTT SULLIVAN (M.D.)
1432 KIMBROUGH RD
GERMANTOWN, TN 381382405
Phone: (901) 767-4499
Type: Mailing
University Hospital & Clinics, 2390, West Congress Street, Lafayette, Lafayette Parish, Louisiana, 70506, United States
LAFAYETTE, LA 705064205
Phone: (318) 381-1097
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $3,690.
Total Amount is formed as General ($3,690) + Research ($0) + Ownership ($0) = $3,690.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Kyowa Kirin, Inc. ($3,212).
Total Amount
$3,690
General + Research + Ownership
Payments
23
Total payment records
General Amount
$3,690
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kyowa Kirin, Inc. | $3,212 |
| Apellis Pharmaceuticals, Inc. | $161 |
| Sun Pharmaceutical Industries Inc. | $112 |
| ABBVIE INC. | $89 |
| Genentech USA, Inc. | $40 |
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: 2021-08-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210611001157 | I | Ophthalmology | MS | TBD |
| I20210614000849 | I | Ophthalmology | TN | TBD |
| I20210818000040 | I | Ophthalmology | AR | 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 |
|---|---|---|---|---|
| J2403 | Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | 90,400 | 65 | $0 |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 52,980 | 358 | $0 |
| 67028 | Injection of drug into eye | 1,678 | 793 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 1,482 | 341 | $0 |
| 92134 | Imaging of retina | 1,058 | 527 | $0 |
Insurance plans in this area (ZIP 38138)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | MS | |
| O P T O M E T R Y | TN | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN |
Reviews
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