NPPES file of Aug 9, 2026

John Joseph Sullivan, MD

Gynecology Physician · Cincinnati, OH

John Joseph Sullivan, MD is a gynecology physician with a practice address in Cincinnati, Ohio, and NPI 1053340372, issued on Jun 30, 2006. Check the license (Ohio 35.060447, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053340372
Name
John Joseph Sullivan
Credential
MD
Primary taxonomy
Gynecology Physician 207VG0400X
License number
35.060447 OH
Self-reported in NPPES; status is on the state search
Practice location
11135 Montgomery RD, Cincinnati, OH 45249
Phone
(513) 793-2220
Enumerated
Jun 30, 2006
Record last updated
Aug 22, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(513) 793-5933
Medicaid ID
09714269030 OH
Medicare enrollment
Enrolled (PECOS I20111228000730); accepts Medicare assignment
Medical or professional school
University Of Cincinnati College Of Medicine, 1989
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 11135 Montgomery RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Christopher Condorodis, MDObstetrics & Gynecology Physician1215163571
  2. Mark Deutsch, MDOtolaryngology Physician1093781841
  3. Jon Fackler, MDGynecology Physician1497784722
  4. Stanley Lesinski, MDOtology & Neurotology Physician1548236342
  5. Gillian Miller, PA-CPhysician Assistant1093663197
  6. Vincent Ngo, MDInternal Medicine Physician1407484694

Verify John Joseph Sullivan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersState Medical Board of Ohio
    Search for license 35.060447
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Ohio license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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28% fewer Medicare Part D claims than the average gynecology physician in 2024

215 Medicare Part D claims for 74 beneficiaries, against an average of 299 among the 1,919 providers of this specialty who prescribed in Part D.

  1. John Sullivan215
  2. Specialty average299

Most prescribed

  1. Estradiol73 claims
  2. Alendronate Sodium40 claims
  3. Clotrimazole-Betamethasone14 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 MIPS final score for 2023 (Medicare payment program): 90.4 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $206.41

11 payments; by number, the most common kind was food and beverage; the largest payer was Astellas Pharma US Inc. The 1,398 providers of this specialty with any payment received $2,469.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. John Sullivan$206.41
  2. Specialty average$2,469.88

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

  1. Trihealth H LLCMontgomery, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

John Joseph Sullivan among 128 gynecology physician records in Ohio

John Joseph Sullivan, MD is one of 128 gynecology physician records with a practice address in Ohio. 52% 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 23% of them.

  • NPI issued2006 · 23% of these records are older, 35% newer
  • In a Medicare fileYes · 52% of these records are
  • In the CMS Doctors and Clinicians fileYes · 38% of these records are
  • Graduated1989 · median 2002 among the 48 with a school on file
  • Record last updated2016 · 70% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207VG0400X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gynecology Physician providers in Ohio

There are 128 gynecology physician records in Ohio.

The 8 gynecology physician records with the nearest ZIP codes

  1. Sarah Bartlett, MDCincinnati, OH 452491023237344
  2. Linda Evans, MDCincinnati, OH 452491689688103
  3. Jon Fackler, MDCincinnati, OH 452491497784722
  4. Eric Stamler, M.D.Cincinnati, OH 452481639172513
  5. Alfonso Barnes, M.D.Cincinnati, OH 452421225175367
  6. Steven Johnson, M.D.Cincinnati, OH 452421467423053
  7. Wayne Lippert, M.D.Montgomery, OH 452421740270644
  8. Christine Plecha, MDCincinnati, OH 452421982698858

Common questions

What is John Joseph Sullivan, MD's NPI number?

John Joseph Sullivan, MD's National Provider Identifier (NPI) is 1053340372, issued on Jun 30, 2006. An NPI identifies a provider in billing; it is not a license.

Where is John Joseph Sullivan, MD located?

The NPPES record lists a practice address at 11135 Montgomery RD, Cincinnati, OH, 45249. Phone: (513) 793-2220. Providers update this record themselves, so call before visiting.

How can I verify John Joseph Sullivan, MD's license?

NPPES lists Ohio license number 35.060447, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does John Joseph Sullivan, MD prescribe under Medicare Part D?

In 2024, John Joseph Sullivan, MD had 215 Medicare Part D claims for 74 beneficiaries; the average among gynecology physician prescribers was 299. Part D covers Medicare prescriptions only.

What is John Joseph Sullivan, MD's MIPS final score?

The 2023 MIPS final score is 90.4 of 100. 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.