NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1285611046
Verify on CMS → Paul Sullivan
Emergency Medicine Physician in Longmont, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
178
Medicare Part D claims · 130 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
88.6/100
▲ 5 pts above national avg 83.5 · Above neutral
Industry payments
$20.23
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Paul Sullivan reported a CMS MIPS final score of 88.6/100 - above the 83.5 national average - and filed 178 Medicare Part D claims in 2023.
- 88.6/100
- MIPS score · +5 vs avg
- 178
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥54th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Paul Sullivan
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1285611046), first enumerated 12/22/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 178 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 88.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$20.23 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1285611046 · Emergency Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ABOVE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1285611046
- ENUM-LEGACY 2005
- TAX-MEGA 64K Emergency Medicine
- MIPS-ABOVE 88.6/100
- RX-LIGHT 178
- BOOK-LIGHT 1,359 in Colorado
- PHOTO-FINISH Conor Byrt · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Sullivan · this …
Sullivan · this provider
88.6 MIPS pts
- Ryan King · high…
Ryan King
88.6 MIPS pts
- Conor Byrt · near
Conor Byrt
88.6 MIPS pts
- Brian Cooper · n…
Brian Cooper
88.6 MIPS pts
- Blaine Evans · n…
Blaine Evans
88.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Paul Sullivan's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
89 ≥ 54th percentile 54% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Paul Sullivan sits
This provider among emergency medicine physician peers
Across the 14,017 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Sullivan writes more Part D claims than 58% of them and scores higher on MIPS quality than 41% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Paul Sullivan. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Paul Sullivan practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Paul Sullivan?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
178 49% vs specialty avg
MIPS final score
88.6/100 5.1 pts vs avg
Specialty distribution in Colorado
How Emergency Medicine Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Paul Sullivan's 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 88.6/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1285611046 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Gender | Male |
| NPI Issued | 12/22/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
88.614
Final Score
Measured-score avg: 83.5
86.6047
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Paul Sullivan bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Emergency Physicians OF The Rockies, PC
Longmont, CO
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Paul Sullivan. Source: openpaymentsdata.cms.gov.
Total received
$20
Largest payer
Boston Scientific Corporation
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
178
Total Claims
$5K
Total Drug Cost
130
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 183
- Total Day Supply
- 1,614
- Generic Drug Cost
- $2K
- Opioid Claims
- 32 (18.0% rate)
- Antibiotic Claims
- 49
Patient Demographics
- Average Patient Age
- 73.7 years
- Avg HCC Risk Score
- 1.72
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 13, 65-74: 51, 75-84: 53, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Paul Sullivan prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
27 claims
- Ondansetron Odt
Ondansetron Odt
24 claims
- Cefuroxime
Cefuroxime
14 claims
- Doxycycline Hyclate
Doxycycline Hyclate
11 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 27 |
| Ondansetron Odt Ondansetron | 24 |
| Cefuroxime Cefuroxime Axetil | 14 |
| Doxycycline Hyclate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Paul Sullivan fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Paul Sullivan's 178 claims are below the specialty average of 352.
Nationwide Emergency Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Sullivan, both outside Colorado so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (88.6 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Emergency Medicine Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Sullivan.
One of 1,359 Emergency Medicine Physician providers enrolled in Colorado, 5 are shown here.
Steven Aaronson
Denver, CO
Lauren Abbate
Aurora, CO
Dr. Jean Abbott
MD
Aurora, CO
Dr. William Abbott
M.D.
Aurora, CO
Dr. Charles Abramson
D.O.
Glenwood Springs, CO
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Paul Sullivan's specialty? ▼
Paul Sullivan specializes in Emergency Medicine Physician and practices in Longmont, Colorado.
How much does Paul Sullivan prescribe under Medicare Part D? ▼
In 2023, Paul Sullivan wrote 178 Medicare Part D claims totaling $5K in drug costs for 130 beneficiaries.
What is Paul Sullivan's Medicare quality score? ▼
Paul Sullivan has a CMS MIPS Final Score of 88.6/100 (Quality: 86.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paul Sullivan located? ▼
Paul Sullivan is located at 1950 MOUNTAIN VIEW AVE, Longmont, CO, 80501. Phone: (303) 306-7783.
What is Paul Sullivan's NPI number? ▼
Paul Sullivan's National Provider Identifier (NPI) is 1285611046, issued on 12/22/2005.
Does Paul Sullivan prescribe opioids? ▼
Yes, Paul Sullivan had 32 opioid claims in 2023 with an opioid prescribing rate of 18.0%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Paul Sullivan prescribe most often? ▼
Based on 2023 Medicare Part D data, Paul Sullivan's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Ondansetron Odt, Cefuroxime. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Sullivan accept Medicare? ▼
Paul Sullivan appears in CMS Medicare data with 178 Part D claims and 130 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Sullivan's credentials? ▼
Paul Sullivan's NPI is 1285611046. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.