Active NPI 1881097236 Individual Practitioner Male Practitioner

Michael J Sullivan , PA-C

Physician Assistant • Belleville, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Sullivan, PA-C is a certified Physician Assistant practicing in Belleville, IL. With approximately 12 years of clinical experience since completing medical education in 2014, Michael Sullivan delivers high-quality medical care to the local community at 4700 MEMORIAL DR STE 340.

Michael Sullivan is affiliated with Fairview Heights Medical Group Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4700 Memorial Dr Ste 340

Belleville, IL 622265373

Telephone 6182349884

Associated Practice Facility / Clinic

🏢 Orthopedic And Sports Medicine Physicians, Ltd Facility NPI 1588704613

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Belleville, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -2.1 yrs vs City Avg

City Avg: 14.1 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

42 Specialists

Practicing in Belleville, IL (4958 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (12 Years) 12 Yrs

Belleville Specialty Average (14.1 Years) 14.1 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
J0897 Injection, denosumab, 1 mg	5,100	51	$42.00	$25.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,772	197	$6.00	$0.97
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,632	14	$35.00	$16.19
20610 Aspiration and/or injection of fluid from large joint	523	214	$319.01	$65.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	56	$68.00	$11.62
99213 Established patient office or other outpatient visit, typically 15 minutes	98	85	$187.00	$74.68
27447 Replacement of knee joint, both sides of knee	63	62	$1342.80	$179.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$220.00	$91.38
27130 Replacement of thigh bone and hip joint with prosthesis	26	24	$1105.80	$180.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$104.71	$46.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,900	38	$39.32	$23.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,656	265	$5.59	$1.07
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,440	15	$34.00	$6.76
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,216	11	$35.00	$16.15
20610 Aspiration and/or injection of fluid from large joint	704	286	$324.05	$65.31
99213 Established patient office or other outpatient visit, typically 15 minutes	131	119	$150.00	$75.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	38	$58.00	$11.67
27447 Replacement of knee joint, both sides of knee	63	60	$1342.80	$182.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$220.00	$95.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$90.00	$47.12
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$1105.80	$182.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,420	35	$36.00	$21.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,783	236	$5.00	$1.13
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,056	14	$42.00	$9.99
20610 Aspiration and/or injection of fluid from large joint	536	265	$310.47	$66.17
99213 Established patient office or other outpatient visit, typically 15 minutes	134	106	$144.00	$76.15
27447 Replacement of knee joint, both sides of knee	55	53	$1297.20	$185.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	33	$56.00	$12.02
27130 Replacement of thigh bone and hip joint with prosthesis	27	23	$1068.30	$185.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$212.00	$94.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$86.00	$48.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,660	33	$33.00	$20.59
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	912	12	$40.00	$10.85
J1030 Injection, methylprednisolone acetate, 40 mg	355	128	$13.00	$5.60
20610 Aspiration and/or injection of fluid from large joint	288	143	$290.33	$63.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	164	25	$4.00	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	126	102	$139.00	$77.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	31	$54.00	$11.96
27447 Replacement of knee joint, both sides of knee	47	47	$1286.20	$187.21
27130 Replacement of thigh bone and hip joint with prosthesis	34	33	$1037.10	$188.12
20552 Injections of trigger points in 1 or 2 muscles	28	15	$142.00	$39.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$83.00	$47.81
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	16	11	$1438.00	$1219.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$204.00	$105.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$205.00	$97.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,940	31	$32.00	$19.60
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,268	13	$38.00	$10.90
J1030 Injection, methylprednisolone acetate, 40 mg	447	135	$12.00	$6.03
20610 Aspiration and/or injection of fluid from large joint	288	129	$293.13	$62.31
99213 Established patient office or other outpatient visit, typically 15 minutes	125	102	$134.00	$63.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	30	$52.00	$12.04
27447 Replacement of knee joint, both sides of knee	37	36	$1255.54	$204.06
20552 Injections of trigger points in 1 or 2 muscles	35	25	$137.00	$33.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$198.00	$93.22
27130 Replacement of thigh bone and hip joint with prosthesis	23	23	$1006.80	$201.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$80.00	$38.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,000	31	$30.72	$18.65
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,008	13	$35.90	$10.71
J1030 Injection, methylprednisolone acetate, 40 mg	387	126	$11.00	$6.18
20610 Aspiration and/or injection of fluid from large joint	285	122	$252.26	$58.31
99213 Established patient office or other outpatient visit, typically 15 minutes	121	97	$129.01	$62.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	31	$49.71	$13.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	41	$191.36	$90.07
27447 Replacement of knee joint, both sides of knee	43	42	$1436.22	$201.62
20552 Injections of trigger points in 1 or 2 muscles	37	22	$132.78	$35.20
27130 Replacement of thigh bone and hip joint with prosthesis	30	29	$1219.04	$192.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,220	27	$29.68	$17.91
J1030 Injection, methylprednisolone acetate, 40 mg	242	90	$11.45	$6.69
99213 Established patient office or other outpatient visit, typically 15 minutes	160	115	$130.51	$61.79
20610 Aspiration and/or injection of fluid from large joint	138	80	$204.98	$57.46
27447 Replacement of knee joint, both sides of knee	85	83	$1816.48	$199.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	25	$49.00	$16.93
20552 Injections of trigger points in 1 or 2 muscles	35	21	$126.09	$33.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	32	$196.63	$91.30
27130 Replacement of thigh bone and hip joint with prosthesis	29	28	$1837.12	$196.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,620	16	$28.00	$16.64
J1030 Injection, methylprednisolone acetate, 40 mg	160	75	$13.00	$5.78
99213 Established patient office or other outpatient visit, typically 15 minutes	129	89	$145.00	$61.70
20610 Aspiration and/or injection of fluid from large joint	91	67	$141.92	$55.77
27447 Replacement of knee joint, both sides of knee	73	71	$1843.94	$198.05
20552 Injections of trigger points in 1 or 2 muscles	33	24	$115.39	$38.69
27130 Replacement of thigh bone and hip joint with prosthesis	29	29	$2640.50	$194.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$217.00	$90.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	16	$49.00	$20.84

Medical Specialties & State Licenses

CMS Verified: 2021-02-28

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

Fairview Heights Medical Group Sc

4700 Memorial Dr, Belleville, IL 622265373

Fairview Heights Medical Group Sc

4500 Memorial Dr, Belleville, IL 622265360

Phone: 6182576220

Fairview Heights Medical Group Sc

1 Memorial Dr, Alton, IL 620026722

Phone: 6184637240

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Charles Lehmann , MD

Orthopaedic Surgery

NPI 1033371992

Doctor of Medicine (M.D.)

Dr. Blakelyn Busse , DO

Orthopaedic Surgery

NPI 1093238230

Doctor of Osteopathic Medicine (D.O.)

Dr. Timothy Leeburton , MD

Orthopaedic Surgery - Hand Surgery

NPI 1104823574

Doctor of Medicine (M.D.)

Ganan Hahn , PA

Physician Assistant

NPI 1184337032

Physician Assistant

Dr. Gregory Simmons , MD

Orthopaedic Surgery

NPI 1194729871

Doctor of Medicine (M.D.)

Dr. Jason Wiechert , DO

Orthopaedic Surgery

NPI 1235545971

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 30, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2014

Registered at 4700 MEMORIAL DR STE 340, BELLEVILLE, IL 622265373 (Tel: 6182349884)

📍

Updated Business Mailing Address September 30, 2014

Registered at 4500 MEMORIAL DRIVE, MEMORIAL HOSPITAL MEDICAL AFFAIRS, BELLEVILLE, IL 62226 (Tel: 6182574644)

👤

Provider Name / Credentials Updated September 30, 2014

Recorded as MICHAEL SULLIVAN, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2014

Physician Assistant

🟢

Initial NPI Registration & Enumeration September 30, 2014

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: 1881097236

Entity Type:

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

Enumeration Date: September 30, 2014

Last Update: February 28, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 Memorial Drive, Memorial Hospital Medical Affairs

Belleville, IL 62226

Phone: 6182574644

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.