Doctor profile · Federal record
Dr. Mallory Sullivan, DO
Family Medicine Physician (CMS: Family Practice) · Waterville, NY
- NPI 1124311360
- Accepts Medicare
- MIPS 77.0 / 100 · 2023
- 15 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
117 W Main St, Suite 1
Waterville, NY 134801165
(315) 841-4178
fax (315) 841-4338
Credentials & registration
- NPI registered
- May 2011 — 15 yrs on file
- Profile last updated
- March 20, 2017
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- New York #274601
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124311360. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
388
Distinct HCPCS
4
Medicare allowed
$33,345
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 163 | 107 | $64 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 113 | 113 | $127 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 90 | 59 | $94 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 22 | 21 | $8 |
In context: peer comparison
Among 2 peers in Waterville Family Medicine Physician, average services per provider: 87. This provider delivers 4.5× the peer median.Open Payments
Industry payments received
All-time total
$311
Transactions
15
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 5 | $111.09 | |
| Astellas Pharma US INC | 2 | $51.42 | |
| Lilly USA, LLC | 2 | $37.96 | |
| Pfizer INC. | 2 | $35.51 | |
| Exact Sciences Corporation | 2 | $30.10 | |
| Abbvie INC. | 1 | $29.62 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $15.50 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,673
Patients
780
Total drug cost
$37,991
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Metoprolol Succinate | Generic | 282 | 83 | $6,186 |
| Omeprazole | Generic | 255 | 75 | $4,314 |
| Lisinopril | Generic | 242 | 73 | $2,012 |
| Atorvastatin Calcium | Generic | 225 | 67 | $2,891 |
| Levothyroxine Sodium | Generic | 211 | 59 | $3,777 |
| Amlodipine Besylate | Generic | 178 | 51 | $1,254 |
| Losartan Potassium | Generic | 170 | 52 | $2,551 |
| Hydrochlorothiazide | Generic | 169 | 55 | $1,156 |
| Sertraline Hcl | Generic | 167 | 41 | $1,942 |
| Pravastatin Sodium | Generic | 162 | 45 | $1,752 |
Hospital affiliations
Frequently asked questions
What is Dr. Mallory Sullivan's medical specialty?
Dr. Mallory Sullivan practices Family Medicine Physician in Waterville, NY.
Where does Dr. Mallory Sullivan practice?
Dr. Mallory Sullivan practices at 117 W Main St, Waterville, NY 134801165. Office phone: 3158414178.
What is Dr. Mallory Sullivan's NPI?
Dr. Mallory Sullivan's National Provider Identifier (NPI) is 1124311360, issued by NPPES.
Does Dr. Mallory Sullivan accept Medicare assignment?
Yes. Dr. Mallory Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mallory Sullivan commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.