Randall Sullivan, MD
NPI 1114942653 · Psychiatry Physician · Omaha, NE
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randall Sullivan, MD is a Psychiatry Physician provider in Omaha, NE (NPI 1114942653).
Provider details
- NPI number
- 1114942653
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD2018-0063 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
69 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 42 | $75 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 27 | $165 |
Typical Medicare-allowed amounts for these services range $75–$165 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 25 June StSanford, ME 04073-2621Phone: (207) 490-7000Fax: (207) 490-7002
- 555 S Schwartz AveFarmington, NM 87401-5955Phone: (505) 609-6680
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Frequently asked questions
- What is Randall Sullivan's NPI number?
- Randall Sullivan's National Provider Identifier (NPI) is 1114942653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randall Sullivan's specialty?
- Randall Sullivan is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Randall Sullivan located?
- Randall Sullivan's practice location on file with NPPES is Emile @ 42nd St, Omaha, NE 68198-5575.
- What is Randall Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Randall Sullivan is (402) 552-6007.
- Does Randall Sullivan accept Medicare?
- Randall Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randall Sullivan's NPI active?
- Yes — Randall Sullivan's NPI (1114942653) is active in the NPPES registry as of the last update on 2025-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.