Active NPI 1508895988 Individual Practitioner Male Practitioner

Dr. Thomas C. Sullivan , MD

Colon & Rectal Surgery • Mena, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Sullivan, MD is a certified Colon & Rectal Surgery practicing in Mena, AR. With approximately 47 years of clinical experience since completing medical education in 1979, Dr. Sullivan delivers high-quality medical care to the local community at 400 CRESTWOOD CIR.

Dr. Sullivan is affiliated with Mena Surgical Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Crestwood Cir
Suite L

Mena, AR 719535511

Telephone 4793941414

Fax 4793942612

Associated Practice Facility / Clinic

🏢 Ouachita Surgical Services Inc Facility NPI 1760429666

Medicare Profile & Education

Medical School

Other

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Mena, AR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs Matches City Avg

City Avg: 47.0 Yrs

State Avg: 30.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Mena, AR (18 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (47 Years) 47 Yrs

Mena Specialty Average (47.0 Years) 47.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	102	$167.77	$114.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$168.00	$99.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$604.00	$49.57
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$662.00	$162.60
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$903.00	$225.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	130	$160.00	$114.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$160.00	$101.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	41	$575.00	$62.73
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$630.00	$166.79
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$110.00	$82.30
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$630.00	$166.69
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$715.00	$161.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$860.00	$223.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$65.00	$51.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$160.00	$101.08
99213 Established patient office or other outpatient visit, typically 15 minutes	122	97	$110.00	$82.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	80	$65.00	$50.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	35	$575.00	$83.79
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$630.00	$168.70
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$630.00	$168.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$860.00	$233.31
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$715.00	$167.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	162	162	$160.00	$103.08
99213 Established patient office or other outpatient visit, typically 15 minutes	91	82	$110.00	$84.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	84	$65.00	$51.34
45378 Diagnostic exam of large bowel using a flexible endoscope	40	40	$630.00	$171.86
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	39	$575.00	$101.14
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	25	$860.00	$236.48
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$630.00	$172.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$160.00	$119.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	96	$110.00	$68.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$160.00	$99.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	77	$160.97	$99.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	47	47	$575.00	$81.63
45378 Diagnostic exam of large bowel using a flexible endoscope	35	35	$630.00	$177.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$860.00	$244.98
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$110.00	$66.15
45380 Biopsy of large bowel using an endoscope	18	18	$750.00	$155.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$65.00	$37.99
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$630.00	$177.56
43249 Balloon dilation of esophagus using an endoscope	13	13	$420.00	$116.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	251	192	$110.00	$68.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$160.00	$100.08
99202 New patient office or other outpatient visit, typically 20 minutes	80	80	$110.00	$70.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	72	$160.00	$100.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	73	72	$571.23	$74.64
45378 Diagnostic exam of large bowel using a flexible endoscope	58	58	$630.00	$178.59
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	38	38	$630.00	$171.86
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	36	36	$860.00	$246.53
43249 Balloon dilation of esophagus using an endoscope	22	22	$420.00	$138.16
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$465.00	$77.52
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	14	14	$760.00	$220.15
45380 Biopsy of large bowel using an endoscope	14	14	$750.00	$168.74
47562 Removal of gallbladder using an endoscope	13	13	$1265.00	$615.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$60.00	$37.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$160.00	$99.16
99213 Established patient office or other outpatient visit, typically 15 minutes	145	119	$110.00	$66.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	79	$160.00	$99.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	53	53	$575.00	$80.63
45378 Diagnostic exam of large bowel using a flexible endoscope	44	44	$630.00	$175.27
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	41	40	$630.00	$175.00
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$860.00	$239.08
45380 Biopsy of large bowel using an endoscope	19	18	$750.00	$165.57
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	15	15	$760.00	$195.51
47562 Removal of gallbladder using an endoscope	13	13	$1265.00	$586.46
43249 Balloon dilation of esophagus using an endoscope	12	12	$420.00	$112.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$160.00	$98.19
99213 Established patient office or other outpatient visit, typically 15 minutes	96	70	$110.00	$66.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	43	$160.00	$98.86
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	38	$575.00	$104.69
45378 Diagnostic exam of large bowel using a flexible endoscope	34	34	$630.00	$175.71
45380 Biopsy of large bowel using an endoscope	15	15	$750.00	$168.69
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$860.00	$244.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$65.00	$39.59

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License CA A41748

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Hospital & Practice Group Affiliations

Mena Surgical Clinic

400 Crestwood Cir, Mena, AR 719535512

Phone: 47939414141010

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Steven Forrest , MD

Family Medicine

NPI 1194921635

Doctor of Medicine (M.D.)

Dr. Kent Schnetzler , MD

Orthopaedic Surgery - Sports Medicine

NPI 1467612085

Doctor of Medicine (M.D.)

Sydney Ford , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1578452819

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

David Koppein , NP

Nurse Practitioner - Family

NPI 1790988319

Nurse Practitioner

Dr. Joseph Williams , DO

Family Medicine

NPI 1861136269

Doctor of Osteopathic Medicine (D.O.)

Olivia Bayne , APRN FNP-C

Nurse Practitioner

NPI 1922844257

APRNFNPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 07, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2012

Registered at 400 CRESTWOOD CIR, SUITE L, MENA, AR 719535511 (Tel: 4793941414)

📍

Updated Business Mailing Address February 07, 2012

Registered at 311 MORROW ST N, MENA, AR 719532516 (Tel: 4793946100)

👤

Provider Name / Credentials Updated February 07, 2012

Recorded as THOMAS SULLIVAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2012

Colon & Rectal Surgery (License #A41748 in CA)

🟢

Initial NPI Registration & Enumeration June 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Thomas Sullivan. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1508895988

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2006

Last Update: February 07, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

311 Morrow St N

Mena, AR 719532516

Phone: 4793946100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.