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Active NPI 1952079915 Individual Practitioner Male Practitioner

Matthew Sullivan , PA

Physician Assistant • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Matthew Sullivan, PA is a certified Physician Assistant practicing in Jacksonville, FL. With approximately 5 years of clinical experience since completing medical education in 2021, Matthew Sullivan delivers high-quality medical care to the local community at 9765 SAN JOSE BLVD STE 102.

Matthew Sullivan is affiliated with Ibrahim Heart Clinic Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9765 San Jose Blvd Ste 102

Jacksonville, FL 322575467

Telephone 9042605757
Fax 9042680733
Associated Practice Facility / Clinic
🏢 Luis F Anez Md Pa Facility NPI 1538347380

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -6.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (5 Years) 5 Yrs
Jacksonville Specialty Average (11.2 Years) 11.2 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
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
301 119 $120.00 $61.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
194 93 $140.00 $65.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
191 103 $240.00 $88.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
85 79 $215.00 $106.00
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
76 76 $200.00 $109.22
93000 Routine ekg using at least 12 leads including interpretation and report
24 23 $34.00 $11.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
22 21 $270.00 $108.99

Medical Specialties & State Licenses

CMS Verified: 2021-12-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Ibrahim Heart Clinic Pllc

3625 University Blvd S, Jacksonville, FL 322164207

Phone: 9047026111

Ibrahim Heart Clinic Pllc

5150 Belfort Rd, Jacksonville, FL 322566026

Phone: 9045804730

Ibrahim Heart Clinic Pllc

5150 Belfort Rd Bldg, Jacksonville, FL 322566026

Ibrahim Heart Clinic Pllc

4901 Richard St, Jacksonville, FL 322077328

Phone: 9044250500

Practice Associates & Co-Workers

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

6 Associated Practitioners
Shayne Lynne Malik

Nurse Practitioner - Family

NPI 1073061214
Remy Phillips , PA

Physician Assistant

NPI 1295493138

Physician Assistant

Stephanie Jordon , ARNP-BC

Nurse Practitioner - Family

NPI 1376049965

ARNPBC

Dr. David Anez , MD

Internal Medicine

NPI 1437899226

Doctor of Medicine (M.D.)

Dr. Luis Anez , MD

Family Medicine

NPI 1598741118

Doctor of Medicine (M.D.)

Terri Serman , ARNP

Nurse Practitioner

NPI 1659686251

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 10, 2021

Registered at 9765 SAN JOSE BLVD STE 102, JACKSONVILLE, FL 322575467 (Tel: 9042605757)

👤
Provider Name / Credentials Updated December 10, 2021

Recorded as MATTHEW SULLIVAN, PA

NPI Profile Active September 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2021

Registered at 3748 BOWDEN RD S, JACKSONVILLE, FL 322166223 (Tel: 9043008044)

📍
Updated Business Mailing Address September 02, 2021

Registered at 3748 BOWDEN RD S, JACKSONVILLE, FL 322166223 (Tel: 9043008044)

👤
Provider Name / Credentials Updated September 02, 2021

Recorded as MATTHEW SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 02, 2021

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: 1952079915
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2021
Last Update: December 10, 2021
Sole Proprietor: No

Mailing Address

3748 Bowden Rd S

Jacksonville, FL 322166223

Phone: 9043008044

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.