John Sullivan, M.D.
NPI 1942294095 · Orthopaedic Surgery Physician · Vero Beach, FL
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Sullivan, M.D. is a Orthopaedic Surgery Physician provider in Vero Beach, FL (NPI 1942294095).
Provider details
- NPI number
- 1942294095
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME165012 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
173 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 42 | $126 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 35 | $69 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 35 | $170 |
| X-Ray of Hip, 2-3 Views73502 | 19 | $41 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 17 | $175 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 14 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Celecoxib | 27 | 14 |
| Prednisone | 20 | 18 |
| Meloxicam | 19 | 11 |
| Oxycodone Hcl | 19 | 15 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 15 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,687 across 18 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 13000 US Highway 1 Ste 5Sebastian, FL 32958-3773Phone: (772) 581-5881Fax: (772) 581-5883
- 1729 Burrstone RdNew Hartford, NY 13413-1001Phone: (315) 798-1700Fax: (315) 798-1707
Registry dates
- Enumerated
- 2005-09-06
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Frequently asked questions
- What is John Sullivan's NPI number?
- John Sullivan's National Provider Identifier (NPI) is 1942294095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Sullivan's specialty?
- John Sullivan is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is John Sullivan located?
- John Sullivan's practice location on file with NPPES is 1040 37th Pl Ste 202, Vero Beach, FL 32960-4818.
- What is John Sullivan's phone number?
- The practice phone number listed in the NPPES registry for John Sullivan is (315) 790-9317.
- Does John Sullivan accept Medicare?
- John Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Sullivan's NPI active?
- Yes — John Sullivan's NPI (1942294095) is active in the NPPES registry as of the last update on 2026-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.