Skip to content

Mallory Sullivan, DO

NPI 1124311360ActiveIndividual· Family Medicine· Waterville, NY

Family Medicine (DO) in Waterville, New York, trained at New York College of Osteo Medicine of New York Institute of Technology (class of 2011). Their prescriptions cost Medicare Part D more than their services did: $529,866 for 6,474 claims, against $26,445 paid for services in 2024. Pfizer Inc. was the largest of 8 companies reporting payments in 2025, $264.25 in all, mostly food and beverage.

Overview

NPI1124311360
StatusActive
Entity typeIndividual
CredentialDO
Sole proprietorNo
NPI issuedMay 20, 2011
Last updated in NPPESMar 20, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X274601NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients171
Services billed398 across 22 procedure codes
Paid by Medicare$26,445

Part D prescriptions in 2024

Prescriptions (claims)6,474 · 14,994 30-day fills
Patients515
Total drug cost$529,866
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Medical schoolNew York College of Osteo Medicine of New York Institute of Technology
Graduation year2011
Medicare specialtyFamily Practice
TelehealthOffers telehealth

Medical group

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$264.25 · 14 payments from 8 companies
  • 2024$311.20 · 15 payments from 7 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$264.25 · 14 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Family Medicine providers in Waterville

All Family Medicine providers in New York →