Justin Micheal Sullivan, PA-C
NPI 1821634239ActiveIndividual· Physician Assistant· Stratford, NJ
Physician Assistant (PA-C) with Kennedy Medical Group Practice, P.C., practicing in Stratford, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $45,313 for 365 claims, against $6,834 paid for services in 2024. Viiv Healthcare Company reported $20.18 in payments in 2024, mostly food and beverage. Lists Thomas Jefferson University Hospital as a hospital affiliation.
Overview
| NPI | 1821634239 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 20, 2019 |
| Last updated in NPPES | Feb 11, 2020 |
| Certified by provider | Feb 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00553600 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 92 across 16 procedure codes |
| Paid by Medicare | $6,834 |
Part D prescriptions in 2024
| Prescriptions (claims) | 365 · 622 30-day fills |
|---|---|
| Patients | 130 |
| Total drug cost | $45,313 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Kennedy Medical Group Practice, P.C.Stratford, NJ · 418 clinicians
Hospital affiliation
- Thomas Jefferson University HospitalPhiladelphia, PA
Industry payments (Open Payments)
- 2024$20.18 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Viiv Healthcare Company | $20.18 | 1 |
What the 2024 payments were for
- Food and Beverage$20.18 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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