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Dr. Jon M. Sullivan , MD

Pediatrics • Gallipolis, OH

Active NPI 1053341370 Individual Practitioner Male Practitioner
Practice location in NPPES

100 Jackson Pike
Gallipolis, OH 456311560

Call 7404465371 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

100 Jackson Pike

Gallipolis, OH 456311560

Telephone 7404465371
Fax 7404465711
Organization at the Same NPPES Address or Phone
Holzer Clinic, Llc Facility NPI 1508817248

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2024

All general payments: $38.96 across 2 records.

By nature of payment

  • Food and Beverage: $38.96 across 2 records.

Reporting-company totals

  • GlaxoSmithKline, LLC.: $38.96 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gallipolis and Ohio

16 active clinicians are listed under Pediatrics with a practice address in Gallipolis, OH (2,972 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gallipolis

0% of these 16 clinicians have the CMS telehealth indicator.

6.2% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $38.96.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $20.07
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $18.89

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-12-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 35-05-4754

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WV 16987

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0882719 (OH)
Medicaid ID
0107833000 (WV)
Other Identifier Molina Medicaid #
0882719 (OH)
Other Identifier Anthem Bcbs
000000006810 (WV)
Other Identifier Rr Medicare
370002760 (OH)
Other Identifier Anthem Bcbs
000000007592
Other Identifier Unison Medicaid #
000000181879 (OH)
Other Identifier Caresource Medicaid #
310917085065 (OH)
Other Identifier Mountain State Bcbs
001714064

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1255362927

Doctor of Medicine (M.D.)

Kimberly Hughes , CNP

Nurse Practitioner - Family

NPI 1629276126

Certified Nurse Practitioner

NPI 1396782314

Doctor of Medicine (M.D.)

NPI 1548207392

Doctor of Medicine (M.D.)

Kelci Wanat , NP

Nurse Practitioner - Family

NPI 1518742378

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
📍
Updated Practice Location October 25, 2019

Registered at 100 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465371)

âś…
NPI Profile Active February 09, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) February 09, 2015

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465371)

📍
Business Mailing Address (Initial Record) February 09, 2015

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465371)

👤
Provider Name / Credentials (Initial Record) February 09, 2015

Recorded as JON SULLIVAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2015

Pediatrics (license number reported to NPPES: OH 35-05-4754)

🟢
Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053341370
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2006
Last Update: December 29, 2020
Sole Proprietor: No

Other Pediatrics Specialists in Gallipolis

Healthcare providers in Gallipolis

Mailing Address

90 Jackson Pike

Gallipolis, OH 456311560

Phone: 7404465371

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.