SCOTT SULLIVAN M.D. NPI 1689100471

NPI Information

  • NPI: 1689100471
  • Provider Name: SCOTT SULLIVAN, M.D.
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1432 KIMBROUGH RD
    GERMANTOWN, TN
    ZIP 38138
  • Phone: (901) 767-4499

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NPI Details

Scott Sullivan, M.D. is a retina specialist ophthalmology in Germantown, TN with 9 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Scott Sullivan, M.D. NPI is 1689100471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1432 KIMBROUGH RD
GERMANTOWN, TN
ZIP 38138-405
Phone: (901) 767-4499

The NPI 1689100471 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Injection, faricimab-svoa, 0.1 mg (HCPCS:J2777)
  • Injection of drug into eye (HCPCS:67028)
  • Injection, brolucizumab-dbll, 1 mg (HCPCS:J0179)
  • Injection, bevacizumab, 10 mg (HCPCS:J9035)
  • Injection, ranibizumab, 0.1 mg (HCPCS:J2778)
  • Imaging of retina (HCPCS:92134)
  • Compounded drug, not otherwise classified (HCPCS:J7999)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Unclassified drugs (HCPCS:J3490)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Photography of the retina (HCPCS:92250)
  • Photocoagulation treatment to prevent detachment of retina (HCPCS:67145)
  • Extended exam of the back part of the eye with optic nerve drawing (HCPCS:92202)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 5/11/2017 and was last updated on 2/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0107XOphthalmologyRetina Specialist63308TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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