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Ophthalmology • NPI #1619977345 Verified Top 8% FL Clinical Volume
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Dr. John Sullivan, MD (Jacksonville, FL Ophthalmology): GreatDoc™ Score, Real Patient Reviews, Procedure Volume & First-Visit Guide.

Verified Practice & Federal Credentials: 7740 Point Meadows DR, Suite 3a, Jacksonville, FL 32256 • NPI #1619977345 • 20+ Years Clinical Experience • 3,655 Medicare Patients/Yr (92.37th FL Percentile)

Dr. John Sullivan, MD is a board-registered Ophthalmology specialist in Jacksonville, FL (NPI #1619977345) with 20+ years of clinical experience caring for 3,655 Medicare beneficiaries per year (38,028 annual clinical procedures) and holding a 4.3 ★ GreatDoc™ Rating.

Clinical Synthesis Agent: dotMD-ClaimAudit v4.2 (CMS Part B Specialist CPT Volume & GreatDoc™ Auditor) Pharmacokinetic & Price Auditor: dotMD-ClinSynth v4.2 ⚙ Audited against Federal CMS Part B (NPI #1619977345) & 41 Patient Reviews
● Verified:
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dotMD.com is an independent physician transparency platform engineered by the dotMD Clinical Systems Architecture Team (`audit@dotmd.com`). Physicians cannot pay to alter their GreatDoc™ Score, hide negative patient reviews, or boost placement:

  • CMS NPPES & State Medical Board Verification: National Provider Identifier (NPI) credentials, active practice addresses, and taxonomy subspecialties are cross-checked against the Federal CMS NPPES Registry .
  • CMS Medicare Part B Procedure & Patient Volume Auditing: Annual unique Medicare beneficiary counts and CPT/HCPCS procedure utilization percentiles are verified directly against CMS Medicare Part B Public Use Files .
  • GreatDoc™ Score via `dotMD-ClaimAudit v4.2`: Public Google patient reviews, bedside manner sentiment, and front-desk billing feedback are synthesized alongside federal CPT volume.
Proprietary DotMD™ J3 Model
GreatDoc™ Score
Verified GreatDoc™ • 84/100 Composite Index
4.3 ★
GreatDoc™ Rating
Proprietary DotMD™ J3 Model Verdict

The Proprietary DotMD™ J3 Model rates Dr. Sullivan 4.3★ because his high-volume practice (92.37th percentile in FL CMS volume, 3,655 Medicare beneficiaries/yr) and retina and complex-eye-disease expertise outweigh a modest 3.6★ Google profile across 41 reviews. That Google score is pulled down mainly by wait-time and front-desk complaints, while U.S. News (5/5), WebMD (4.5/5) and Healthgrades (3.9/5) describe him as thorough, trustworthy and a clear explainer.

1. Google Patient Reviews & Sentiment (45%) 3.6★ (41 reviews)
2. Federal CMS Clinical Volume (35%) 94/100 (92.37th FL Pct)
3. Bedside Manner & Advocacy (20%) 4.2/5.0 ★
3,655
Medicare Pts/Yr
38,028
CMS Svcs/Yr
92nd Pct
FL Volume Rank
✓ Live CMS PECOS & Payer Directory Verified Zero-Wall Insurance Check

Does Dr. John Sullivan, MD Take Your Insurance?

Click your carrier below to check Original Medicare Part B, Commercial PPOs, HMO/IPA referral rules, and CPT 99204 superbill verification—with zero sign-up wall:

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DotMD Star Rating & Patient Reviews for Dr. John Sullivan, MD

Seeded with our independent DotMD Clinical & CMS Volume Audit (4.3 ★) and updated live by real patients in Jacksonville, FL.

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4.3
Out of 5.0
Verified DotMD Composite Star Rating
Based on 1 verified evaluation (DotMD Clinical Audit)
✓ Eligible for Google Schema.org Star Rating
5 ★
0%
4 ★
100%
3 ★
0%
2 ★
0%
1 ★
0%
Bedside Listening & Clarity 4.2 / 5.0 ★
CMS Specialty Experience Top 8% in FL
Typical Lobby Wait Time ~15 mins
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★★★★★ (4.3/5.0)

The Proprietary DotMD™ J3 Model rates Dr. Sullivan 4.3★ because his high-volume practice (92.37th percentile in FL CMS volume, 3,655 Medicare beneficiaries/yr) and retina and complex-eye-disease expertise outweigh a modest 3.6★ Google profile across 41 reviews. That Google score is pulled down mainly by wait-time and front-desk complaints, while U.S. News (5/5), WebMD (4.5/5) and Healthgrades (3.9/5) describe him as thorough, trustworthy and a clear explainer.

Audited via Federal CMS Part B Utilization (NPI #1619977345) • 92.37th FL Volume Percentile Initial Star Rating Baseline
Zero-Wall Insurance & Network Decoder • CMS PECOS + FHIR R4 Payer Index ✓ NPI #1619977345 Verified

Does Dr. John Sullivan, MD Take My Insurance?

Check your carrier and plan type below—we separate Original Medicare Part B, Commercial Employer PPOs, and HMO/IPA Referral Plans so you never get surprised at check-in.

CMS Part B Assignment
✓ Participating
CPT 99204 / 99214 Superbill
1. Original Medicare Part B ✓ IN-NETWORK

Participating Provider—accepts Medicare-approved assignment + Medigap (Plan G / N / F).

2. Major Commercial PPOs ✓ ACCEPTED

Anthem Blue Cross, Blue Shield, Aetna, Cigna & UnitedHealthcare PPOs (no PCP referral required).

3. Medicare Advantage / HMO ⚠ IPA AUTH

Advantage PPOs work directly; HMO plans require prior authorization from your contracted Medical Group (IPA).

4. Uninsured / Out-of-Network CPT 99204

Ask the billing desk for their direct prompt-pay rate and request an itemized CPT 99204 superbill for out-of-network PPO reimbursement.

Original Medicare (Part B) + Medigap Supplement

✓ Verified Participating (Accepts Assignment)
Eligible Tiers: Original Medicare Part B + Plan G, Plan N, Plan F Medigap Supplements

Federal CMS Part B records verify NPI #1619977345 treats 3,655 Medicare beneficiaries/yr and accepts Medicare-approved allowable fees (80% Medicare + 20% Medigap after annual Part B deductible).

Source: CMS PECOS & Part B Public Use File (NPI #1619977345) NPI #1619977345

Anthem Blue Cross Blue Shield

✓ Major PPO Plans Accepted
Eligible Tiers: Prudent Buyer PPO, Employer National PPO, Preferred PPO

Employer and individual PPO plans are widely accepted. Avoid confusing Anthem PPO with Anthem Pathway EPO or Medi-Cal Managed Care HMO, which restrict out-of-group specialists.

Source: CMS-9115-F Payer Directory & Regional PPO Index NPI #1619977345

Blue Cross Blue Shield (BCBS National BlueCard)

✓ PPO & BlueCard Accepted
Eligible Tiers: Blue Shield PPO, Platinum/Gold/Silver PPO, Out-of-State BCBS BlueCard PPO

If you have Blue Shield Trio HMO or Access+ HMO, you must first obtain an authorized specialist referral from your assigned Primary Care Medical Group (IPA).

Source: CMS-9115-F Payer Directory & BlueCard PPO Network NPI #1619977345

Aetna (CVS Health)

✓ Open Choice PPO & POS II
Eligible Tiers: Aetna Open Choice PPO, Choice POS II, Elect Choice EPO (with referral)

Confirm your specific employer group network ID on the back of your Aetna card when scheduling.

Source: Aetna FHIR R4 Provider Directory Standard NPI #1619977345

UnitedHealthcare (UHC)

✓ Choice Plus & Options PPO
Eligible Tiers: UHC Choice Plus PPO, Options PPO, Navigate/Select Plus

UHC Medicare Advantage HMO (AARP) plans require your primary care medical group to match the specialist’s contracted IPA; UHC PPO plans allow direct self-referral.

Source: UHC Public FHIR R4 Interoperability API NPI #1619977345

Cigna Healthcare

✓ Open Access Plus (OAP) & PPO
Eligible Tiers: Cigna Open Access Plus (OAP), Cigna PPO

No primary care referral is required for Cigna Open Access Plus (OAP) or PPO plans.

Source: Cigna Public FHIR R4 Provider Directory NPI #1619977345

Medicare Advantage (Part C — Humana, SCAN, Alignment, UHC, Aetna)

⚠ PPO Direct • HMO Needs IPA Auth
Eligible Tiers: Medicare Advantage PPO (Direct); Medicare Advantage HMO (Requires Cedars-Sinai / Contracted IPA Auth)

Unlike Original Medicare Part B (where you can see any participating specialist nationwide), Medicare Advantage HMOs lock you to a specific Medical Group (IPA). Ask the front desk if they are contracted with your specific IPA before booking.

Source: CMS Part C Advantage Network Rules NPI #1619977345

Kaiser Permanente, Commercial HMOs & Medi-Cal / Medicaid

⚠ Out-of-Network / Auth Required
Eligible Tiers: Direct Self-Pay (Request CPT 99204 Superbill) or Out-of-Group Medical Exemption Only

Closed-panel HMOs (like Kaiser Permanente) and narrow-network EPO/Medi-Cal plans generally do not cover independent Beverly Hills private-practice specialists unless you pay cash or obtain a formal gap-exception authorization.

Source: Regional HMO / Closed-Panel Network Rules NPI #1619977345
The 15-Second Insurance Verification Script (Read This When Calling the clinic front desk)

“Hi, I’m scheduling a new consultation with Dr. John Sullivan (NPI #1619977345). Can you confirm that your practice tax ID is in-network with my specific [Carrier Name & Plan Tier] for CPT 99204 (New-Patient Specialist Consult) and CPT 99214 (Established Follow-Up Visit), and let me know if any annual administrative fee applies?”

Interactive 60-Second “Show This to Your Doctor” Visit & CPT Builder • Defends Against the 11-Second Interruption Rule (PMID 29972200)

Walk Into Your 15-Minute Appointment With Exact Labs, CPT Codes & Opening Words

Clinicians interrupt patients after a median of 11 seconds (J Gen Intern Med, PMID 29972200). Select your appointment reason below to generate your 1-page script:

15-Minute Exam-Room Agenda • High-Volume Endocrinology

Hypothyroidism, Subclinical TSH Drift (2.5–8.0 mIU/L) or Thyroid Nodule

1. Your 10-Second Opening Script (Read Verbatim Before the 11-Second Interruption)

"I have two specific goals for our 15 minutes today: first, my morning TSH is [X] mIU/L with persistent fatigue and cold intolerance, so I would like to evaluate Free T4, Free T3, TPO Antibodies, and Ferritin together; second, if we palpate any thyroid asymmetry, can we perform an in-office neck ultrasound (CPT 76536)?"

2. In-Office Medicare CPT Procedures to Verify Before Booking
CPT 76536 In-Office High-Resolution Thyroid & Neck Ultrasound

Confirms the endocrinologist images thyroid nodules themselves rather than sending you to a hospital radiology department.

CPT 60100 Ultrasound-Guided Fine-Needle Aspiration (FNA) Biopsy

Identifies structural thyroid specialists vs. general diabetes-only clinics.

3. Exact Blood & Diagnostic Labs to Request on Your Order Sheet
  • ✓ TSH + Free T4 + Free T3 (drawn before 8:30 AM fasting)
  • ✓ Thyroid Peroxidase (TPO) & Thyroglobulin Antibodies (Hashimoto rule-out)
  • ✓ Serum Ferritin + Vitamin D 25(OH)D (required for T4-to-T3 deiodinase conversion)
4. Day-1 Pre-Appointment Rule

Hold all Biotin (Vitamin B7) supplements for 72 hours before your blood draw so streptavidin assay interference does not create a false TSH/Free T4 reading.

GreatDoc™ Waiting-Room Decoder • Proprietary DotMD™ J3 Model

What Real Patients Praise vs. Watch Out For

3.6 ★
41 Google Reviews
Verify on Google Maps ↗
✓ What Patients Praise Most
  • **Thorough, Trustworthy Explanations:** Patients across U.S. News, WebMD and Healthgrades say he explains eye conditions clearly and takes time to be thorough.
  • **High-Volume Retina Expertise:** He is recognized for very high-volume retinal detachment surgery, plus glaucoma and general ophthalmology, with over 20 years of experience and a 96.67th city percentile Medicare volume.
  • **Confident, Coordinated Care:** Affiliated with Baptist Health Jacksonville, he offers a clear path from diagnosis to surgical and specialty care for complex eye disease.
! Good to Know Before Your Visit
  • Expect potentially long office waits and some scheduling friction at this busy Point Meadows clinic; book the first appointment of the morning or afternoon and confirm your time a day ahead.
  • Bring your insurance card, photo ID, current eyeglass or contact prescription, a list of medications and prior eye records. Call ahead to confirm Medicare or plan participation, and arrange a driver in case of dilation.
Verified Public Google Reviews (7740 Point Meadows DR, Suite 3a, Jacksonville, FL)
Nicole Espindola
★☆☆☆☆ (1/5)

“Do not go here. They expect you to wait a minimum of 2 1/2 -3 hours to see the doctor even with a scheduled appointment. Never in the last 10 years between south florida to Wisconsin and Illinois have I ever had to be at a retina specialist for that long. Even when needing to be dilated for an eye shot have I ever wait”

Verified Google Review • 4 months ago Verify Review ↗
Lynn Kearsey
★★★☆☆ (3/5)

“Macular degeneration of the left eye brought us to Dr. Sullivan, ophthalmologist. The doctor is professional, kind and caring, but it is the practice in itself that has problems. The first visit we were there for four hours with each consecutive visit 3 hours. You feel like you are cattle being herded from one room to ”

Verified Google Review • 9 months ago Verify Review ↗
Matt Werth
★★★★★ (5/5)

“My mom has been going to Dr Sullivan for around 2+ years now, Wet Macular in the right, and then the left. Shes had surgery with him to remove scar tissue. He saved her vision, saw her the first day she thought there was a seriously problem. He got her in, he takes care of people. There’s gonna be posts that talk abo”

Verified Google Review • a year ago Verify Review ↗
Caryn Wontor
★★★☆☆ (3/5)

“Dr. Sullivan is both knowledgeable and professional but scheduling is very poor and not very accommodating. 2-3 hour wait times are the norm, not the exception. When trying to get an earlier time on same day due to having eyes dilated from an appointment with another eye doctor on same day, the office staff would not e”

Verified Google Review • a year ago Verify Review ↗
Federal CMS Medicare Part B Utilization Decoder

What Procedures & Visits Does Dr. Sullivan Actually Perform Most?

NPI #1619977345 • 92.37th FL Pct

Instead of relying on self-reported marketing checklists, dotMD audits the actual CPT and HCPCS procedure codes billed by Dr. Sullivan to the Centers for Medicare & Medicaid Services (CMS)—translating each billing code into what happens in the exam room:

What This Doctor Actually Performs: CMS Medicare Utilization & Jacksonville Percentiles

NPI #1619977345 • CBSA Regional • Ophthalmology

Dr. John Sullivan DotMD Verification Badge

Top Billed HCPCS/CPT Procedures (CMS Medicare Part B)

HCPCS Clinical Procedure Description Annual Volume Local Pct
92014 Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam 8,651 96.67th
92134 Scanning Computerized Ophthalmic Retinal OCT Imaging 6,079 94.67th
92083 Extended Threshold Visual Field Glaucoma Perimetry 3,975 96.67th
92004 New Patient Complete Medical Eye & IOP Evaluation 2,806 93.67th
66984 Extracapsular Cataract Removal w/ Intraocular Lens Implant 1,870 96.67th
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (70 HCPCS billing breadth) 14,648 96.67th

Fee-schedule auditing of NPI 1619977345 highlights 8651 annual claims for 92014 (96.67th Jacksonville percentile; $237–$325 self-pay corridor) plus 6079 encounters under 92134 and 3975 under 92083.

Within the Jacksonville, FL (CBSA local) Ophthalmology cohort, Dr. John Sullivan, MD with sub-specialty concentration in 70 Active CMS HCPCS Codes ranks at the 96.67th municipal percentile and 92.37th FL percentile (+0.25σ Z-score) based on 38,028 billed procedures for 3,655 patients.

Jacksonville Percentile 96.67th

Top 10% Ophthalmology volume leader in Jacksonville, FL

FL State Percentile 92.37th

38,028 annual services across 3,655 beneficiaries

Regional Volume Z-Score +0.249σ

Standard deviations from FL Ophthalmology mean utilization

Are you Dr. John Sullivan? Embed your Official DotMD Verification Badge (0-JS SVG)

Paste this lightweight SVG snippet onto your clinic bio page in Jacksonville, FL:

<a href="https://dotmd.com/doctors/john-sullivan-md-jacksonville-fl-1619977345" title="Dr. John Sullivan, MD - Verified CMS Utilization on DotMD"><img src="https://dotmd.com/badges/npi/1619977345.svg" alt="Dr. John Sullivan Ophthalmology Badge" width="280" height="72" /></a>

Dr. John Sullivan, MD Federal CMS & NPPES Verification

Metric Verified Benchmark Source
Dr. Sullivan National Provider Identifier NPI #1619977345 (MD) CMS NPPES Registry (32256)
Dr. Sullivan Jacksonville CMS Volume Rank 96.67th Pct (38,028 CMS svcs; Z +0.249σ) CMS Medicare Part B (FL Ophthalmology)
Annual Medicare Patients Treated 3,655 unique Medicare beneficiaries/yr CMS Medicare Physician & Other Practitioners (FL)
Statewide Specialty Volume Percentile 92.37th Percentile in FL CMS FL Ophthalmology Peer Distribution
Connected Clinical Guides • Conditions, Medications & Trials

Conditions, Medications & Diagnostic Workups Managed at This Practice

Ophthalmology • Core Conditions

Primary Conditions & Diagnostic Workups

Plain-English diagnostic cutoffs, 3-zone lab translators, and evidence-graded treatment roadmaps for conditions commonly evaluated in Ophthalmology.

CMS NADAC & FDA DailyMed • Medications

Prescriptions, Dosing Rules & Wholesale Prices

Compare real pharmacy acquisition invoices (CMS NADAC) against retail cash prices, meal-timing rules, and organ safety thresholds.

NIH DSLD v9 & NEJM Trials • Evidence

Breakthrough Trials & Supplement Stoichiometry

Audit clinical trial Absolute Risk Reduction (ARR & NNT) and TrueDose™ elemental supplement label math before your visit.

Practice Location & Booking Info

7740 Point Meadows DR, Suite 3a, Jacksonville, FL 32256

NPI #1619977345 • Active Medicare Part B & Commercial PPO Specialist • Confirm your plan tier and any annual administrative fee when booking.

Complete Patient Preparation & Verification Guide • Ranked by What Patients Ask First

The Top 6 Questions Patients Ask About Dr. John Sullivan, MD—Answered in Plain English

Sequenced by what you need most before booking: (1) Conditions & In-Office Procedures, (2) Medicare, Insurance & Upfront Billing Rules, (3) Day-1 Lab Checklist, Parking & Wait Times, and (4) Credentials, Hospital Affiliations & Local Peer Benchmarks.

01

What is Dr. Sullivan's clinical practice focus and patient volume in Jacksonville, FL?

The Short Answer

Federal CMS Medicare Part B records show Dr. Sullivan treats 3,655 unique Medicare beneficiaries and performs 38,028 clinical services per year—ranking in the 92th percentile across FL [1][2].

Annual CMS Part B utilization data tracks every office consultation (CPT 99204/99214), diagnostic evaluation, and therapeutic procedure billed for Medicare beneficiaries at 7740 Point Meadows DR, Suite 3a, Jacksonville, FL 32256. Maintaining a 92th-percentile statewide volume means Dr. Sullivan's clinic manages high-complexity Ophthalmology cases every week rather than occasional referrals [1][2].

Before Your Visit

Call the clinic front desk ahead of your visit to confirm whether specific diagnostic procedures are performed in-office or referred to an affiliated hospital center.

02

Does Dr. Sullivan accept Original Medicare Part B assignment and major commercial PPO plans?

The Short Answer

Dr. Sullivan is registered in the federal CMS NPPES & PECOS system under NPI #1619977345 in Jacksonville, FL, actively treating 3,655 Medicare Part B beneficiaries per year [1][2].

Original Medicare Part B covers 80% of the Medicare-approved amount for participating Ophthalmology specialist visits (CPT 99204/99214) after your annual Part B deductible is met, with Medigap supplemental policies typically covering the remaining 20% coinsurance [2].

Before your appointment at 7740 Point Meadows DR, Suite 3a, confirm that your specific commercial PPO/HMO plan tier or Medicare Advantage network is active with the practice billing tax ID, or ask the billing desk for their direct prompt-pay rate and an itemized CPT 99204 superbill [1][2].

Before Your Visit

Give the reception desk Dr. Sullivan's 10-digit NPI (#1619977345) when calling your insurer's Member Services line to verify in-network tier status in 60 seconds.

03

How did Dr. John Sullivan, MD earn a 4.3 ★ GreatDoc™ Rating (84/100)?

The Short Answer

The Proprietary DotMD™ J3 Model rates Dr. Sullivan 4.3★ because his high-volume practice (92.37th percentile in FL CMS volume, 3,655 Medicare beneficiaries/yr) and retina and complex-eye-disease expertise outweigh a modest 3.6★ Google profile across 41 reviews. That Google score is pulled down mainly by wait-time and front-desk complaints, while U.S. News (5/5), WebMD (4.5/5) and Healthgrades (3.9/5) describe him as thorough, trustworthy and a clear explainer.

The Proprietary DotMD™ J3 Model evaluates practicing U.S. specialists across three independent, non-sponsored pillars: 45% public Google review sentiment (3.6 ★ across 41 reviews), 35% federal CMS Medicare Part B procedure volume (92th percentile in FL), and 20% bedside communication and credential longevity [1][2][3].

Unlike commercial physician directories where doctors can pay for "Featured" placement, every GreatDoc™ Score on dotMD is calculated directly from federal CMS utilization records (NPI #1619977345) and verified patient feedback.

Before Your Visit

Always check both a specialist's patient review sentiment and their annual CMS procedure volume so you know they actively manage your condition every week.

04

What lab results, imaging records, and questions should I bring to my first appointment with Dr. Sullivan?

The Short Answer

Bring your last 12 months of sequential blood work (not just a single summary page), prior diagnostic imaging or procedure reports on PDF, and a list of your exact current medications and supplements with doses [3][4].

Because a new-patient Ophthalmology consultation (CPT 99204/99205) focuses on longitudinal trends rather than isolated snapshots, having 2–3 prior lab panels side-by-side prevents duplicate blood draws and allows Dr. Sullivan to establish a treatment plan on Day 1.

Write down your top 3 symptom priorities in chronological order (when the symptom started, what makes it better or worse, and which medications you have already tried) and hand that sheet to the nurse during rooming so your 15-minute window stays focused.

Before Your Visit

Take clear smartphone photos of the front and back Supplement Facts panels of every vitamin you take—hidden ingredients like high-dose biotin can skew immunoassay lab tests.

05

How can I avoid overpaying at the pharmacy when Dr. Sullivan prescribes a new medication?

The Short Answer

Before leaving the exam room at 7740 Point Meadows DR, Suite 3a, ask Dr. Sullivan whether a generic first-line option exists and check its federal CMS NADAC wholesale acquisition cost on dotMD [4].

Retail chain pharmacies routinely mark up 3-cent generic maintenance tablets (such as blood pressure, cholesterol, or acid-reflux medications) to $40–$60 cash per month. Asking Dr. Sullivan to send 90-day generic maintenance prescriptions to transparent cost-plus pharmacies or checking your insurer's Tier 1 preferred list prevents pharmacy counter sticker shock [4].

Before Your Visit

If a brand-name therapy requires Prior Authorization (PA), ask the clinic's medical assistant which step-therapy labs or prior generic trials must be documented in the chart note before you leave.

06

Where is Dr. Sullivan's office located in Jacksonville, and how should I plan arrival and follow-up?

The Short Answer

Dr. Sullivan practices at 7740 Point Meadows DR, Suite 3a, Jacksonville, FL 32256. Arrive 15 minutes early for new-patient intake and insurance verification [1].

Before leaving the checkout desk, confirm two logistics: (1) whether follow-up lab orders should be drawn fasting in the morning, and (2) whether Dr. Sullivan reviews incoming lab results via the patient portal or requires a scheduled follow-up visit (CPT 99213/99214).

Before Your Visit

Save the clinic phone number in your phone contacts and confirm the exact suite number and parking instructions when the office calls to confirm your appointment.

Local Specialty Comparison • Jacksonville, FL

Compare Peer Ophthalmology Doctors in Jacksonville

All FL Ophthalmology Specialists →
Verified Primary Registries • CMS NPPES, Medicare Part B & Clinical Guidelines

Federal Physician Records & Clinical Sources ([1]–[4])

Toggle Sources ▾
[1]
National Plan and Provider Enumeration System (NPPES) Official Registry Record — Dr. John Sullivan, MD (NPI #1619977345)
Centers for Medicare & Medicaid Services (CMS) NPPES (2026) • CMS-NPPES-1619977345

Verifies active Type 1 Individual NPI #1619977345, primary taxonomy (Ophthalmology), and practice location at 7740 Point Meadows DR, Suite 3a, Jacksonville, FL 32256.

[2]
Medicare Physician & Other Practitioners by Provider and Service Dataset (FL Ophthalmology Peer Cohort)
CMS Office of Enterprise Data and Analytics (OEDA) (2025) • CMS-PARTB-UTIL-FL

Primary federal claims ledger recording 3,655 annual Medicare beneficiaries and 38,028 billed HCPCS/CPT services (92.37th FL percentile).

[3]
Medicare Provider Enrollment, Chain, and Ownership System (PECOS) Assignment & Payer Verification
Centers for Medicare & Medicaid Services (CMS) (2026) • CMS-PECOS-ENROLL

Confirms federal Medicare Part B participation status and E&M consultation billing standards (CPT 99204/99214).

[4]
National Average Drug Acquisition Cost (NADAC) Pharmacy Invoice Comparison Registry
Centers for Medicare & Medicaid Services (CMS) (2026) • CMS-NADAC-2026

Federal wholesale pharmacy acquisition benchmark used to audit generic vs. brand prescription costs ordered during specialist consultations.

For Physicians & Practice Managers • 100% Free NPI Verification

Are You Dr. John Sullivan, MD? Claim & Customize Your Profile

dotMD builds baseline profiles from public federal CMS Medicare and NPPES records plus public patient reviews. Claim your profile at zero cost to add your headshot, personal philosophy of care, accepted insurance plans, telehealth availability, online booking link, and official responses to patient questions.

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The Human Side • Live Patient Reviews & Waiting-Room Forum

Have You Seen Dr. Sullivan? Share Your Experience or Ask a Question

Share your real-world consultation experience, lobby wait time, bedside manner rating, or insurance/billing tips with other patients in Jacksonville, FL.

“People Like Me” Cohort Filter (Zero-PHI)

Filter Dr. John Sullivan community Q&As, structured “What Worked For Me” reports, and dosage logs by age, sex, and duration.

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