Matthew J Sullivan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA7371 Issued in MA

Practice address

323 Lowell St
Andover, MA 01810-4659

Phone

(978) 794-1946

NPI assigned

Aug 5, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
• Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

Merit-based Incentive Payment System (MIPS)

Final score

74.33 of 100Reported as group

Quality

45.66

Promoting interoperability

100

Improvement activities

40

Cost

68.76

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.sullivan.3@26085.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northeast Orthopaedic Alliance PLLC

  • Orthopaedic Surgery Physician
  • Waltham, MA
  • NPI 1417724170

  NH

  Medicare reassignment Care Compare group NPD
• Eone Medical Subsidiary PLLC

  • Orthopaedic Surgery Physician
  • Andover, MA
  • NPI 1629796321
  Medicare reassignment NPD
• Orthopaedics Northeast P.C.

  • Orthopaedic Surgery Physician
  • N Andover, MA
  • NPI 1003805540
  Medicare reassignment NPD
• Eone Medical PLLC

  • Orthopaedic Surgery Physician
  • Salem, NH
  • NPI 1407510712
  Medicare reassignment NPD
• Eone Medical PLLC

  • Orthopaedic Surgery Physician
  • Andover, MA
  • NPI 1629796305
  Medicare reassignment
• Orthopaedics Northeast, LLC

  • Orthopaedic Surgery Physician
  • North Andover, MA
  • NPI 1962884866
  Medicare reassignment
• Eone Medical Subsidiary PLLC

  • Orthopaedic Surgery Physician
  • Salem, NH
  • NPI 1215680756
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lawrence General Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Care Compare affiliation
• Neuro Rehab Associates, Inc

  • Rehabilitation Hospital
  • Salem, NH
  • NPI 1255354288

  Inpatient rehabilitation facility

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1922653179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST STE 11",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455937",
            "telephone_number": "978-794-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 LOWELL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104659",
            "telephone_number": "978-794-1946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "693 Salem St",
            "address_purpose": "LOCATION",
            "city": "Groveland",
            "state": "MA",
            "postal_code": "018341034",
            "country_code": "US",
            "telephone_number": "978-808-1147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Pelham Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030793077",
            "country_code": "US",
            "telephone_number": "978-794-1946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.orthonortheast.com/",
            "affiliation": "N",
            "address_1": "323 Lowell St",
            "city": "Andover",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018104659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Strength and Balance Physical Therapy
• Barbara C Stubenhaus, CNS (RN, MS, CS)
• Eric C Stubenhaus, PH.D.
• Janet Suleski
• Karen Sullivan
• Susana C.Lugo M.D.,LLC
• Amanda C Symmes, LICSW
• Talis Behavioral Health
• Rebecca R Tamasanis, LICSW
• Mary Alice Taschner, DNP, ANP-BC

• Physician Assistant in Andover, MA
• Providers in Andover, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.