DR. RACHEL MAUPIN SULLIVAN D.O.
NPI 1811258114
Family Medicine in Kansas City, MO
NPI Status: Active since June 04, 2012
Contact Information
4400 BROADWAY
SUITE 400
KANSAS CITY, MO
ZIP 64111
Phone: (816) 753-6552
- Individual
- Female
- Family Medicine
- PECOS Enrolled
- Opted-Out Medicare
About RACHEL SULLIVAN
This page provides the complete NPI Profile along with additional information for Rachel Sullivan, a primary care provider established in Kansas City, Missouri with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1811258114 assigned on June 2012. The practitioner's primary taxonomy code is 207Q00000X with license number 2015026164 (MO). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1811258114
- Provider Name
- DR. RACHEL MAUPIN SULLIVAN D.O.
- Other Name
- DR. RACHEL CARTIER MAUPIN D.O.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4400 BROADWAY SUITE 400 KANSAS CITY, MO 64111
- Location Phone
- (816) 753-6552
- Mailing Address
- 4400 BROADWAY SUITE 400 KANSAS CITY, MO 64111
- Mailing Phone
- (816) 753-6552
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-04-2012
- Last Update Date
- 11-23-2015
- Code Navigator
A primary care provider (PCP) like Rachel Sullivan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Rachel Sullivan opted out of Medicare effective on 09-11-2024 until 09-11-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2015026164
- License State
- MO
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | P8505 (TX) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 05-38365 (KS) |
Medicare Participation & PECOS Enrollment Status
Rachel Sullivan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-11-2024
Opt-Out End Date: 09-11-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 64111 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.82
- Minimum New Patient Price $55.29
- Maximum New Patient Price $168.52
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $13.82
- Maximum New Patient Copayment $42.13
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.82
- Minimum Established Patient Price $17.6
- Maximum Established Patient Price $137.2
- Average Established Patient Copayment $24.45
- Minimum Established Patient Copayment $4.4
- Maximum Established Patient Copayment $34.3
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 1 | 1 | 2 | 5 | 8 | 1 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 4 | 5 | 16 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 4 + 5 + 1 + 6 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1811258114 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003854548 | DR. IRENE E BETTINGER M.D. Individual | Psychiatry & Neurology (Neurology) | 4400 BROADWAY SUITE 520 KANSAS CITY, MO 64111 (816) 531-4080 |
| 1306864079 | DR. DONALD EDWARD WALKER JR. M.D. Individual | Psychiatry & Neurology (Psychiatry) | 4400 BROADWAY SUITE 407 KANSAS CITY, MO 64111 (816) 932-1711 |
| 1306905591 | DR. KARL JOHN KURTZ MD Individual | Urology | 4400 BROADWAY SUITE # 412 KANSAS CITY, MO 64111 (816) 561-7200 |
| 1174801534 | SLNC INC Organization | Psychiatry & Neurology (Neurology) | 4400 BROADWAY SUITE 520 KANSAS CITY, MO 64111 (816) 531-4080 |
| 1811927114 | STANLEY FISHER M.D. Individual | Psychiatry & Neurology (Neurology) | 4400 BROADWAY SUITE 520 KANSAS CITY, MO 64111 (816) 531-4080 |
| 1821395187 | DENISE C. HOPKINS LMSW Individual | Social Worker | 4400 BROADWAY STE. 520 KANSAS CITY, MO 64111 (816) 531-4080 |
| 1194180158 | LABORATORY CORPORATION OF AMERICA HOLDINGS Organization | Clinical Medical Laboratory | 4400 BROADWAY SUITE 302 KANSAS CITY, MO 64111 (816) 756-5047 |
| 1578681656 | KESSLER PHARMACY SERVICES LLC Organization | Pharmacy (Community/Retail Pharmacy) | 4400 BROADWAY SUITE 106 KANSAS CITY, MO 64111 (816) 931-0100 |
| 1982056537 | ALLISON WHITE PHARM.D. Individual | Pharmacist | 4400 BROADWAY SUITE 106 KANSAS CITY, MO 64111 (816) 931-0100 |
| 1053490516 | MRS. DIANE ELIZABETH WEINTRAUB R.PH. Individual | Pharmacist | 4400 BROADWAY SUITE 106 KANSAS CITY, MO 64111 (816) 931-0100 |
| 1598214306 | CHILDREN'S MERCY-PEDIATRIC ASSOCIATES Organization | Pediatrics | 4400 BROADWAY SUITE 206 KANSAS CITY, MO 64111 (816) 561-8100 |
| 1861938102 | DAWN FERGUSON MSN, APRN, AGNP-C Individual | Nurse Practitioner | 4400 BROADWAY SUITE 540 KANSAS CITY, MO 64111 (816) 931-3013 |
| 1942205703 | DR. MICHAEL M VESALI MD Individual | Psychiatry & Neurology (Neurology) | 4400 BROADWAY STE. 520 KANSAS CITY, MO 64111 (816) 531-4080 |
| 1245285154 | DR. KARIN ELIZABETH OLDS MD Individual | Psychiatry & Neurology (Neurology) | 4400 BROADWAY SUITE 520 KANSAS CITY, MO 64111 (816) 531-4080 |
| 1922046317 | DR. CHRISTINE M BOUTWELL M.D. Individual | Psychiatry & Neurology (Neurology) | 4400 BROADWAY SUITE 520 KANSAS CITY, MO 64111 (816) 531-4080 |
| 1245278712 | DR. MICHAEL J SCHWARTZMAN D.O. Individual | Psychiatry & Neurology (Neurology) | 4400 BROADWAY SUITE 520 KANSAS CITY, MO 64111 (816) 531-4080 |
| 1174565337 | DR. CHARLES L WEINSTEIN M.D. Individual | Psychiatry & Neurology (Neurology) | 4400 BROADWAY SUITE 520 KANSAS CITY, MO 64111 (816) 531-4080 |
| 1023246311 | SUSAN SIFERS M.D. Individual | Psychiatry & Neurology (Neurology) | 4400 BROADWAY STE. 520 KANSAS CITY, MO 64111 (816) 531-4080 |
| 1598021479 | STEFAN EICHENAUER M.D. Individual | Physical Medicine & Rehabilitation | 4400 BROADWAY SUITE 540 KANSAS CITY, MO 64111 (816) 531-4080 |
| 1891165296 | MEAGAN REIGHARD APN Individual | Nurse Practitioner | 4400 BROADWAY STE. 520 KANSAS CITY, MO 64111 (816) 531-4080 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811258114, enumerated in the NPI registry as an "individual" on June 04, 2012
The provider is located at 4400 Broadway Suite 400 Kansas City, Mo 64111 and the phone number is (816) 753-6552
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $97.82 and an average copayment of 24.45. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on September 11, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 11, 2026.
This NPI record was last updated on June 04, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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