KATHRYN SULLIVAN (MD) – Urology Physician, NPI 1487700167

KATHRYN SULLIVAN (MD) is a healthcare provider. based in Mount pleasant, Texas. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. V5135 (TX). The NPI Number for KATHRYN SULLIVAN (MD) is 1487700167

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN SULLIVAN (MD)
NPI
1487700167
Phone
(903) 434-7111
Address
2001 N JEFFERSON AVE STE 210
Enumeration Date
26 January 2007
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9034347111
Graduation Year
2005 (21 years ago)
PAC ID
2860631884
Group Practice PAC ID
0143203257
Professional Enrollment ID
I20250827001487
Address ID
TX754552390MO2001XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

861 UROLOGY in TX

Provider Addresses for KATHRYN SULLIVAN (MD)

  • 2001 N JEFFERSON AVE STE 210

    Mount Pleasant, TX 754552390

    Phone: (903) 434-7111

    Fax: (903) 577-6245

    Type: Location

  • 60 MDG

    101 BODIN CIRCLE

    TRAVIS AFB, CA 945351800

    Phone: (720) 220-4403

    Type: Mailing

  • 101 BODIN CIR

    TRAVIS AFB, CA 945351809

    Phone: (720) 220-4403

    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 $158.

Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.

Last reported payment date: 2024-01-29 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($27).

Total Amount

$158

General + Research + Ownership

Payments

9

Total payment records

General Amount

$158

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-29

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: 2025-08-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141021002782IUrologyVATBD
I20230606001353IUrologyMDTBD
I20250827001487IUrologyTXTBD

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 minutes205160$0
51798Ultrasound measurement of bladder capacity after voiding7358$0
99204New patient office or other outpatient visit, 45-59 minutes6969$0
52000Diagnostic exam of bladder and urethra using an endoscope6255$0
99213Established patient office or other outpatient visit, 20-29 minutes5251$0
View full utilization report →

Insurance plans in this area (ZIP 75455)

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Provider's Procedures

KATHRYN SULLIVAN (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYCA51798Ultrasound measurement of bladder capacity after voiding157110

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: 0143203257View full group profile
NameSpecialtyState
Nurse PractitionerTX
Internal MedicineTX
Family PracticeTX
Internal Medicine, Interventional CardiologyTX
Family PracticeTX
N E U R O S U R G E R YTX
H O S P I T A L I S TTX
U R O L O G YAL
Diagnostic RadiologyTX
Medical OncologyMO

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Frequently asked questions

What NPI should I save for KATHRYN SULLIVAN (MD)?
Save NPI 1487700167 if you need a stable reference for KATHRYN SULLIVAN (MD).
Is KATHRYN SULLIVAN (MD)'s NPI currently valid?
The extract we use shows KATHRYN SULLIVAN (MD) as active.
What field does KATHRYN SULLIVAN (MD) work in?
You can think of KATHRYN SULLIVAN (MD) as practicing within Urology Physician. Clinical services aligned with this taxonomy classification.
What location shows for KATHRYN SULLIVAN (MD)?
We surface Mount Pleasant, Texas for KATHRYN SULLIVAN (MD) based on available NPPES addresses.
What if Mount Pleasant, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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