Doctor profile · Federal record
Dr. Mary Ellen Sullivan, GNP-BC
Gerontology Nurse Practitioner (CMS: Nurse Practitioner) · Columbia, SC
- NPI 1861676942
- Accepts Medicare
- 19 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
111 Doctor Cir
Columbia, SC 292036502
(800) 491-0909
Credentials & registration
- NPI registered
- December 2007 — 19 yrs on file
- Profile last updated
- November 9, 2022
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 363LG0600X — NUCC code
- State license (1)
- South Carolina #3428
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861676942. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,194
Distinct HCPCS
10
Medicare allowed
$217,004
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99489 |
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 2,014 | 101 | $56 | |
99487 |
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 389 | 101 | $105 | |
99349 |
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 239 | 166 | $103 | |
99497 |
Advance care planning, first 30 minutes | 146 | 142 | $67 | |
99344 |
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 109 | 109 | $116 | |
99439 |
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 69 | 31 | $38 | |
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 68 | 42 | $50 | |
G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 68 | 68 | $49 | |
99348 |
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 65 | 52 | $61 | |
99495 |
Transitional care management services for problem of at least moderate complexity | 16 | 16 | $162 |
In context: peer comparison
Among 7 peers in this city , average services per provider: 196. This provider delivers 16× the peer median.Open Payments
Industry payments received
All-time total
$203
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 1 | $121.48 | |
| Dexcom, Inc. | 1 | $81.76 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
501
Patients
122
Total drug cost
$7,773
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 63 | 20 | $768 |
| Atorvastatin Calcium | Generic | 52 | 24 | $853 |
| Amlodipine Besylate | Generic | 42 | 0 | $256 |
| Metoprolol Tartrate | Generic | 40 | 14 | $267 |
| Alprazolam | Generic | 39 | 0 | $453 |
| Levothyroxine Sodium | Generic | 35 | 13 | $473 |
| Omeprazole | Generic | 31 | 0 | $315 |
| Trazodone Hcl | Generic | 29 | 0 | $279 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 28 | 12 | $766 |
| Pantoprazole Sodium | Generic | 28 | 15 | $439 |
Frequently asked questions
What is Dr. Mary Ellen Sullivan's medical specialty?
Dr. Mary Ellen Sullivan practices Gerontology Nurse Practitioner in Columbia, SC.
Where does Dr. Mary Ellen Sullivan practice?
Dr. Mary Ellen Sullivan practices at 111 Doctor Cir, Columbia, SC 292036502. Office phone: 8004910909.
What is Dr. Mary Ellen Sullivan's NPI?
Dr. Mary Ellen Sullivan's National Provider Identifier (NPI) is 1861676942, issued by NPPES.
Does Dr. Mary Ellen Sullivan accept Medicare assignment?
Yes. Dr. Mary Ellen Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary Ellen Sullivan commonly perform?
Top Medicare-reported procedures in 2023: Complex chronic care management services for two or more chronic conditions (HCPCS 99489); Complex chronic care management services for two or more chronic conditions (HCPCS 99487); Residence visit for established patient with moderate level of medical decision making (HCPCS 99349). Source: CMS Medicare Physician & Other Practitioners file.