Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1225007578 Deactivated / Inactive NPI Male Practitioner

Dr. Patrick D Sullivan , MD

Orthopaedic Surgery • Winter Haven, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Patrick Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 17, 2006
NPI Deactivation Date January 07, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Sullivan, MD was a registered Orthopaedic Surgery practicing in Winter Haven, FL. Throughout an active medical career spanning 13 years, Dr. Sullivan provided care at the practice location at 101 AVENUE D NW until profile deactivation on 2019-01-07.

Historical Medicare Part B clinical services included injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

101 Avenue D Nw

Winter Haven, FL 338814120

Telephone 8632940670
Fax 8632983200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Winter Haven, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 27.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Winter Haven, FL (1597 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
880 73 $8.00 $1.87
20610 Aspiration and/or injection of fluid from large joint
125 86 $216.82 $70.86
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
99 34 $9.00 $7.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
95 81 $150.00 $106.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
73 73 $175.00 $107.35
73560 X-ray of knee, 1-2 views
59 45 $58.46 $29.72
73565 X-ray of both knees while standing
46 44 $83.00 $34.89
99213 Established patient office or other outpatient visit, typically 15 minutes
28 28 $100.00 $72.16
73030 X-ray of shoulder, minimum of 2 views
20 14 $55.00 $28.80
73100 X-ray of wrist, 2 views
19 12 $46.50 $30.72
72100 X-ray of lower and sacral spine, 2-3 views
12 12 $62.00 $34.28
36415 Insertion of needle into vein for collection of blood sample
12 11 $10.00 $2.94

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME16550

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kajetan Pochcial , MD

Internal Medicine

NPI 1013986900

Doctor of Medicine (M.D.)

NPI 1033408984

Doctor of Medicine (M.D.)

Dr. Joseph Bergnes , MD

Internal Medicine - Medical Oncology

NPI 1053380113

Doctor of Medicine (M.D.)

NPI 1053389445

Doctor of Podiatric Medicine

Dr. Maria Martino-Villanueva , MD

Obstetrics & Gynecology

NPI 1083689160

Doctor of Medicine (M.D.)

Dr. Mary De Sena , MD

Family Medicine

NPI 1104819853

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 07, 2019

Record deactivated on January 07, 2019

NPI Profile Active May 20, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2008

Registered at 101 AVENUE D NW, WINTER HAVEN, FL 338814120 (Tel: 8632940670)

📍
Updated Business Mailing Address May 20, 2008

Registered at 635 1ST ST N, WINTER HAVEN, FL 338814129 (Tel: 8632940670)

👤
Provider Name / Credentials Updated May 20, 2008

Recorded as PATRICK SULLIVAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2008

Orthopaedic Surgery (License #ME16550 in FL)

🟢
Initial NPI Registration & Enumeration March 17, 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. Patrick Sullivan. Be the first to share your experience!

Sign in to leave a review for Dr. Patrick Sullivan

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

NPI Administrative Meta

NPI Number: 1225007578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2006
Last Update: May 20, 2008
Deactivation Date: January 07, 2019

Mailing Address

635 1st St N

Winter Haven, FL 338814129

Phone: 8632940670

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.