James M. Sullivan, MD
Rheumatology Physician · Garden City, NY
James M. Sullivan, MD is a rheumatology physician with a practice address in Garden City, New York, and NPI 1275697161, issued on Dec 22, 2006. Check the license (New York 138253, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- James M. Sullivan
- Credential
- MD
- Primary taxonomy
- Rheumatology Physician 207RR0500X
- License number
- 138253 NY
Self-reported in NPPES; status is on the state search - Practice location
- 711 Stewart Ave, Garden City, NY 11530
- Phone
- (516) 222-8654
- Enumerated
- Dec 22, 2006
- Record last updated
- Jul 27, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (516) 794-6227
- Medicaid ID
- 00411927 NY
- Medicare enrollment
- Enrolled (PECOS I20100304000111); accepts Medicare assignment
- Medical or professional school
- Saginaw Valley Medical College - Nlg, 1974
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest rheumatology physician records → All 599 in New York → Look up another NPI →
Also registered at 711 Stewart Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sarah DiazClinical Social Worker1558910729
- Eric Donnenfeld, M.D.Ophthalmology Physician1891790770
- Sharon HochhauserFamily Nurse Practitioner1881185973
- Judi Luttieri, DPTPhysical Therapist1760633598
- Alyssa Mancuso, ODOptometrist1992123814
- Michael MascielloRegistered Nurse1487329405
Verify James M. Sullivan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 138253Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
44% more Medicare Part D claims than the average rheumatology physician in 2024
2,845 Medicare Part D claims for 407 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. 220 claims were for opioids.
Most prescribed
- Prednisone424 claims
- Methotrexate326 claims
- Alendronate Sodium237 claims
- Hydroxychloroquine Sulfate219 claims
- Allopurinol138 claims
- Gabapentin119 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 84.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $591.47
33 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- New York UniversityNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James M. Sullivan among 599 rheumatology physician records in New York
James M. Sullivan, MD is one of 599 rheumatology physician records with a practice address in New York. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.
- NPI issued2006 · 12% of these records are older, 54% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated1974 · median 2003 among the 425 with a school on file
- Record last updated2021 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Rheumatology Physician providers in New York
There are 599 rheumatology physician records in New York.
All 599 in New York → Every provider in Garden City → Rheumatology Physician nationwide →
The 8 rheumatology physician records with the nearest ZIP codes
- Walter Schulman, MDGlen Cove, NY 115421952300501
- Jonathan Klahr, MDCedarhurst, NY 115161487738936
- Prachi Anand, M.D.East Meadow, NY 115541306805213
- Tobin Abraham, M.D.Hewlett, NY 115571649683889
- Jordan Brodsky, M.D.Hewlett, NY 115571386969418
- Serina Chung, M.D.Hewlett, NY 115571104825124
- Daniel Cohen, M.D.Hewlett, NY 115571104829779
- Stuart Kaplan, M.D.Hewlett, NY 115571316940984
Common questions
What is James M. Sullivan, MD's NPI number?
James M. Sullivan, MD's National Provider Identifier (NPI) is 1275697161, issued on Dec 22, 2006. An NPI identifies a provider in billing; it is not a license.
Where is James M. Sullivan, MD located?
The NPPES record lists a practice address at 711 Stewart Ave, Garden City, NY, 11530. Phone: (516) 222-8654. Providers update this record themselves, so call before visiting.
How can I verify James M. Sullivan, MD's license?
NPPES lists New York license number 138253, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James M. Sullivan, MD prescribe under Medicare Part D?
In 2024, James M. Sullivan, MD had 2,845 Medicare Part D claims for 407 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.
What is James M. Sullivan, MD's MIPS final score?
The 2023 MIPS final score is 84.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.