Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235228743 Individual Practitioner Male Practitioner

Dr. John K Sullivan , MD

Emergency Medicine • Bath, NY

Professional Overview & Biography Verified Profile Summary

Dr. John Sullivan, MD is a registered healthcare professional specializing in Emergency Medicine in Bath, NY. Practice services are available at 76 VETERANS AVE under active NPI credentials.

Frequently performed procedures and clinical services include detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19), established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

76 Veterans Ave

Bath, NY 14810

Telephone 6076644000
Fax 6076644791
Associated Practice Facility / Clinic
🏢 Buffalo Vamc Facility NPI 1952368078

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Bath, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Bath, NY (5148 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
25 25 $100.00 $41.38
99213 Established patient office or other outpatient visit, typically 15 minutes
25 25 $207.00 $88.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
23 23 $207.00 $111.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
14 14 $145.00 $22.60
99202 New patient office or other outpatient visit, typically 20 minutes
14 14 $150.00 $72.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $300.00 $167.35

Medical Specialties & State Licenses

CMS Verified: 2025-09-19
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License NY 166152

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ptan-North Medical, Pc
J400006577 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sonia Liberatore , NP

Nurse Practitioner

NPI 1013029677

Nurse Practitioner

Amber Kelly , LMSW

Social Worker

NPI 1043783251

Licensed Master Social Worker

NPI 1063662120

Doctor of Philosophy (Ph.D.)

Amanda Schultz

Social Worker

NPI 1093688988
NPI 1114858610

Doctor of Pharmacy (Pharm.D.)

NPI 1124138565

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location September 19, 2025

Registered at 76 VETERANS AVE, BATH, NY 14810 (Tel: 6076644000)

NPI Profile Active October 20, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2009

Registered at 196 NORTH ST, GENEVA, NY 144561651 (Tel: 3157874500)

📍
Updated Business Mailing Address October 20, 2009

Registered at 418 N MAIN ST, PENN YAN, NY 145271070

👤
Provider Name / Credentials Updated October 20, 2009

Recorded as JOHN SULLIVAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2009

Emergency Medicine (License #166152 in NY)

🟢
Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235228743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: September 19, 2025
Sole Proprietor: No

Mailing Address

418 N Main St

Penn Yan, NY 145271070

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.