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Active NPI 1699008359 Individual Practitioner Female Practitioner

Kimberly Ann Sullivan , PA

Physician Assistant - Surgical • Seaford, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Sullivan, PA is a certified Physician Assistant - Surgical practicing in Seaford, DE. With approximately 19 years of clinical experience since completing medical education in 2007, Kimberly Sullivan delivers high-quality medical care to the local community at 100 RAWLINS DR.

Kimberly Sullivan is affiliated with Tidalhealth Physician Network, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Rawlins Dr

Seaford, DE 199735881

Telephone 3029903280
Fax 3029903290
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Seaford, DE

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +7.5 yrs vs City Avg
City Avg: 11.5 Yrs
State Avg: 19.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Seaford, DE (61 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (19 Years) 19 Yrs
Seaford Specialty Average (11.5 Years) 11.5 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
27447 Replacement of knee joint, both sides of knee
78 74 $2571.50 $177.61
27130 Replacement of thigh bone and hip joint with prosthesis
40 37 $2575.00 $178.24

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License MD C0003687

Definition to come...

Hospital & Practice Group Affiliations

Tidalhealth Physician Network, Inc.

100 Rawlins Dr, Seaford, DE 199735881

Phone: 3029903300

Tidalhealth Physician Network, Inc.

None, Seaford, DE 19973

Phone: 30262966118802

Secondary Practice Locations

9901 Medical Center Dr

Rockville, MD 208503357

Phone: 3013153171

Practice Associates & Co-Workers

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

3 Associated Practitioners
Justin Allen , PA-C

Physician Assistant - Medical

NPI 1598312076

Physician Assistant (Certified)

Brendan Kane , PA

Physician Assistant - Surgical

NPI 1700714318

Physician Assistant

Courtney Caputo , PA-C

Physician Assistant

NPI 1942774872

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 30, 2018

Registered at 100 RAWLINS DR, SEAFORD, DE 199735881 (Tel: 3029903280)

📍
Updated Business Mailing Address November 30, 2018

Registered at 100 RAWLINS DR, SEAFORD, DE 199735881 (Tel: 3029903280)

NPI Profile Active September 14, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2009

Registered at 9901 MEDICAL CENTER DR, ROCKVILLE, MD 208503357 (Tel: 3013153171)

📍
Updated Business Mailing Address September 14, 2009

Registered at ADVENTIST PHYSICIAN SERVICES INC, PO BOX 64742, BALTIMORE, MD 212640001 (Tel: 3013153171)

👤
Provider Name / Credentials Updated September 14, 2009

Recorded as KIMBERLY SULLIVAN, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2009

Physician Assistant (License #C0003687 in MD)

🟢
Initial NPI Registration & Enumeration September 14, 2009

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: 1699008359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2009
Last Update: November 30, 2018
Sole Proprietor: No

Mailing Address

100 Rawlins Dr

Seaford, DE 199735881

Phone: 3029903280

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.