Active NPI 1285605303 Individual Practitioner Male Practitioner

Dr. John Sullivan , MD

Ophthalmology • San Jose, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Sullivan, MD is a certified Ophthalmology practicing in San Jose, CA. With approximately 62 years of clinical experience since graduating from Georgetown University School Of Medicine in 1964, Dr. Sullivan delivers high-quality medical care to the local community at 220 MERIDIAN AVE.

Dr. Sullivan is affiliated with Bdhv Medical Group Of California Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

220 Meridian Ave

San Jose, CA 951262903

Telephone 4088693400

Fax 4089477972

Associated Practice Facility / Clinic

🏢 Eye Medical Clinic Of Santa Clara Valley Facility NPI 1225256977

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1964

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in San Jose, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

62 Yrs +32.2 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

61 Specialists

Practicing in San Jose, CA (3116 Statewide)

Telehealth Adoption Rate

3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (62 Years) 62 Yrs

San Jose Specialty Average (29.8 Years) 29.8 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	375	262	$232.00	$155.78
92014 Established patient complete exam of visual system	331	323	$232.00	$160.91
92133 Imaging of optic nerve	135	133	$150.00	$44.34
92083 Exam of visual field with extended testing	95	91	$157.00	$83.62
92012 Established patient problem focused exam of visual system	47	46	$172.00	$115.33
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$178.00	$110.96
92134 Imaging of retina	39	37	$150.00	$50.82
92004 New patient complete exam of visual system	18	18	$250.00	$189.82
67820 Removal of eyelashes using forceps	17	12	$200.00	$24.86
68801 Dilation of tear drainage opening	16	13	$394.00	$165.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$180.00	$135.46
92082 Exam of visual field with intermediate testing	12	11	$125.00	$61.39
92250 Photography of the retina	12	11	$135.00	$47.12
76514 Ultrasound scan of cornea to determine thickness	12	12	$130.00	$13.15

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	346	211	$232.00	$153.83
92014 Established patient complete exam of visual system	270	261	$232.00	$160.01
92133 Imaging of optic nerve	126	113	$150.00	$43.91
92083 Exam of visual field with extended testing	104	97	$157.00	$81.69
99213 Established patient office or other outpatient visit, typically 15 minutes	46	39	$178.00	$109.19
92012 Established patient problem focused exam of visual system	25	24	$172.00	$114.62
92134 Imaging of retina	21	20	$150.00	$50.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$180.00	$134.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	369	361	$232.00	$162.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	361	217	$232.00	$157.15
92133 Imaging of optic nerve	159	141	$150.00	$44.89
92083 Exam of visual field with extended testing	131	121	$157.00	$82.77
99213 Established patient office or other outpatient visit, typically 15 minutes	130	114	$178.00	$110.49
92134 Imaging of retina	37	36	$150.00	$50.26
92012 Established patient problem focused exam of visual system	35	35	$172.00	$112.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	26	$95.00	$70.32
68801 Dilation of tear drainage opening	20	16	$394.00	$154.80
92082 Exam of visual field with intermediate testing	16	14	$125.00	$60.71
92285 Photography of content of eyes	13	12	$120.00	$31.11
76514 Ultrasound scan of cornea to determine thickness	11	11	$130.00	$13.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	420	413	$232.00	$163.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	381	223	$232.00	$159.16
92133 Imaging of optic nerve	174	162	$150.00	$45.34
92083 Exam of visual field with extended testing	148	135	$157.00	$83.76
99213 Established patient office or other outpatient visit, typically 15 minutes	117	100	$178.00	$112.82
92012 Established patient problem focused exam of visual system	44	40	$172.00	$116.82
92134 Imaging of retina	23	23	$150.00	$50.02
92250 Photography of the retina	22	22	$135.00	$49.73
67820 Removal of eyelashes using forceps	20	20	$200.00	$25.20
92285 Photography of content of eyes	13	11	$120.00	$31.50
92082 Exam of visual field with intermediate testing	13	12	$125.00	$62.70
76514 Ultrasound scan of cornea to determine thickness	11	11	$130.00	$13.78
67840 Removal of eyelid growth	11	11	$700.00	$387.19
66821 Removal of recurring cataract in lens capsule using a laser	11	11	$945.00	$471.60

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	741	441	$232.00	$131.31
92014 Established patient complete exam of visual system	528	522	$232.00	$158.59
92133 Imaging of optic nerve	179	175	$150.00	$44.96
92083 Exam of visual field with extended testing	153	149	$157.00	$81.83
92134 Imaging of retina	53	52	$150.00	$48.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$180.00	$130.34
92004 New patient complete exam of visual system	35	35	$250.00	$188.32
66821 Removal of recurring cataract in lens capsule using a laser	23	22	$945.00	$438.74
92082 Exam of visual field with intermediate testing	19	18	$125.00	$54.66
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$176.53	$91.19
67820 Removal of eyelashes using forceps	12	12	$200.00	$30.87

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	1,094	610	$231.90	$129.28
92014 Established patient complete exam of visual system	972	948	$232.02	$156.31
99213 Established patient office or other outpatient visit, typically 15 minutes	294	244	$178.00	$89.12
92133 Imaging of optic nerve	253	235	$150.00	$43.87
92083 Exam of visual field with extended testing	230	219	$156.86	$81.59
92134 Imaging of retina	64	64	$150.00	$48.77
92004 New patient complete exam of visual system	63	63	$250.00	$185.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$180.00	$128.50
92082 Exam of visual field with intermediate testing	33	30	$124.09	$58.81
66821 Removal of recurring cataract in lens capsule using a laser	32	31	$945.00	$411.78
68801 Dilation of tear drainage opening	29	23	$394.00	$112.37
67820 Removal of eyelashes using forceps	25	21	$200.00	$41.01
68761 Closure of tear duct opening using plug	14	12	$400.00	$183.75
92250 Photography of the retina	13	13	$135.00	$63.09
92285 Photography of content of eyes	13	12	$120.00	$27.78
67840 Removal of eyelid growth	12	12	$700.00	$325.25
67810 Biopsy of eyelid	12	12	$625.00	$214.71
76514 Ultrasound scan of cornea to determine thickness	11	11	$130.00	$14.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	984	968	$231.81	$147.37
99213 Established patient office or other outpatient visit, typically 15 minutes	910	493	$178.00	$82.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	470	326	$232.00	$121.03
92133 Imaging of optic nerve	258	222	$150.00	$42.44
92083 Exam of visual field with extended testing	221	206	$157.00	$76.84
92250 Photography of the retina	96	91	$135.00	$68.59
92134 Imaging of retina	53	53	$150.00	$46.23
92004 New patient complete exam of visual system	43	43	$250.00	$175.50
76514 Ultrasound scan of cornea to determine thickness	38	37	$130.00	$16.98
92082 Exam of visual field with intermediate testing	33	29	$125.00	$57.86
68801 Dilation of tear drainage opening	29	24	$394.00	$106.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$180.00	$121.19
92285 Photography of content of eyes	19	19	$120.00	$25.65
66821 Removal of recurring cataract in lens capsule using a laser	18	18	$945.00	$407.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$272.00	$181.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,057	560	$178.00	$81.40
92014 Established patient complete exam of visual system	1,020	999	$231.81	$142.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	394	303	$232.00	$119.36
92083 Exam of visual field with extended testing	223	203	$157.00	$75.92
92133 Imaging of optic nerve	130	129	$150.00	$41.22
92250 Photography of the retina	96	94	$135.00	$78.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$180.00	$119.66
92004 New patient complete exam of visual system	79	79	$250.00	$168.72
66821 Removal of recurring cataract in lens capsule using a laser	29	28	$993.88	$398.20
92285 Photography of content of eyes	25	25	$120.00	$25.13
68801 Dilation of tear drainage opening	23	18	$332.70	$106.13
67820 Removal of eyelashes using forceps	23	14	$156.52	$58.33
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	15	$2500.00	$1133.70
76519 Ultrasound of eye for determination of lens power	15	15	$231.00	$103.54
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	14	14	$1000.00	$448.50

Medical Specialties & State Licenses

CMS Verified: 2020-04-29

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA G12933

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Bdhv Medical Group Of California Pc

220 Meridian Ave, San Jose, CA 951262903

Phone: 4088693400

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Robert Masi , MD

Ophthalmology

NPI 1386614725

Doctor of Medicine (M.D.)

Dr. Catherine Pham , MD

Ophthalmology

NPI 1760474159

Doctor of Medicine (M.D.)

Dr. Christina Deane , OD

Optometrist

NPI 1891796629

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 02, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 02, 2009

Registered at 220 MERIDIAN AVE, SAN JOSE, CA 951262903 (Tel: 4088693400)

📍

Updated Business Mailing Address December 02, 2009

Registered at 220 MERIDIAN AVE, SAN JOSE, CA 951262903 (Tel: 4088693400)

👤

Provider Name / Credentials Updated December 02, 2009

Recorded as JOHN SULLIVAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2009

Ophthalmology (License #G12933 in CA)

🟢

Initial NPI Registration & Enumeration January 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285605303

Entity Type:

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

Enumeration Date: January 27, 2006

Last Update: April 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

220 Meridian Ave

San Jose, CA 951262903

Phone: 4088693400

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.