Active NPI 1972024594 Individual Practitioner Male Practitioner

Patrick James Sullivan , PA

Physician Assistant • Brockton, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Patrick Sullivan, PA is a certified Physician Assistant practicing in Brockton, MA. With approximately 9 years of clinical experience since completing medical education in 2017, Patrick Sullivan delivers high-quality medical care to the local community at 110 LIBERTY ST.

Patrick Sullivan is affiliated with Signature Healthcare Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

110 Liberty St

Brockton, MA 023015674

Telephone 5088940400

Associated Practice Facility / Clinic

🏢 Bridgewater Goddard Park Medical Associates, Inc. Facility NPI 1417932591

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Brockton, MA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -2.2 yrs vs City Avg

City Avg: 11.2 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

87 Specialists

Practicing in Brockton, MA (4746 Statewide)

Telehealth Adoption Rate

12.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (9 Years) 9 Yrs

Brockton 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	457	182	$344.00	$84.42
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	234	81	$115.00	$30.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	70	$344.00	$83.30
36415 Insertion of needle into vein for collection of blood sample	124	91	$20.00	$8.59
99213 Established patient office or other outpatient visit, typically 15 minutes	95	70	$236.00	$57.07
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	54	29	$115.00	$29.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$514.00	$115.80
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$236.00	$61.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$514.00	$125.61

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	185	131	$344.00	$82.88
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	93	51	$115.00	$29.23
36415 Insertion of needle into vein for collection of blood sample	74	53	$20.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	55	$344.00	$82.33
99213 Established patient office or other outpatient visit, typically 15 minutes	64	53	$236.00	$55.36
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	30	20	$115.00	$29.34
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$236.00	$57.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	28	$461.00	$121.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	20	$461.00	$122.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$344.00	$68.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$514.00	$114.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$514.00	$114.04

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	209	173	$155.43	$82.25
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	39	27	$180.32	$29.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$211.15	$123.11
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$98.97	$56.33

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	482	256	$144.00	$84.18
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	81	44	$205.00	$29.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$240.00	$115.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	24	$203.00	$120.95
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$94.00	$56.87

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	374	213	$144.00	$66.87
99442 Telephone medical discussion with physician, 11-20 minutes	57	48	$58.70	$43.54
99213 Established patient office or other outpatient visit, typically 15 minutes	56	45	$94.00	$43.58
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	43	26	$205.00	$30.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	34	$203.00	$94.53
99443 Telephone medical discussion with physician, 21-30 minutes	39	35	$93.50	$66.61

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	558	286	$144.00	$64.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	57	$203.00	$90.28
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	49	24	$205.00	$29.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$240.00	$98.27

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	436	214	$144.00	$64.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	52	$203.00	$88.41

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	82	61	$144.00	$64.71

Medical Specialties & State Licenses

CMS Verified: 2023-01-26

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA8960

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NY 020926

Hospital & Practice Group Affiliations

Signature Healthcare Medical Group Inc

110 Liberty St, Brockton, MA 023015521

Phone: 5088940400

Signature Healthcare Medical Group Inc

680 Centre St, Brockton, MA 023023308

Signature Healthcare Medical Group Inc

505 Bedford St, Bridgewater, MA 023243117

Phone: 5086978666

Signature Healthcare Medical Group Inc

545 Bedford St, Bridgewater, MA 023243117

Phone: 5086973677

Signature Healthcare Medical Group Inc

25 Libby St, Brockton, MA 023022949

Phone: 5089417450

Signature Healthcare Medical Group Inc

680 Centre St, Brockton, MA 023023308

Phone: 5089417000

Secondary Practice Locations

6619 State Highway Route 11

Canton, NY 13617

Phone: 3152653300

25 Libby St

Brockton, MA 023022949

Phone: 5088940400

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kimberly Barrett , NP

Nurse Practitioner - Family

NPI 1013166495

Nurse Practitioner

Rena Levy , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1013325661

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Dr. Kevin Gendreau , MD

Family Medicine - Obesity Medicine

NPI 1023422607

Doctor of Medicine (M.D.)

Xin He

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1033590229

Jessica Ramadei , NP

Nurse Practitioner

NPI 1043760036

Nurse Practitioner

Dr. Jaroslav Mikus , MD

Internal Medicine - Cardiovascular Disease

NPI 1053396317

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 26, 2023

Registered at 110 LIBERTY ST, BROCKTON, MA 023015674 (Tel: 5088940400)

📍

Updated Business Mailing Address January 26, 2023

Registered at 110 LIBERTY ST, BROCKTON, MA 023015674 (Tel: 5088940400)

✅

NPI Profile Active July 05, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2017

Registered at 6619 STATE HIGHWAY ROUTE 11, CANTON, NY 13617 (Tel: 3152653300)

📍

Updated Business Mailing Address July 05, 2017

Registered at 50 LEROY ST, POTSDAM, NY 136761786 (Tel: 3152653300)

👤

Provider Name / Credentials Updated July 05, 2017

Recorded as PATRICK SULLIVAN, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2017

Physician Assistant (License #020926 in NY)

🟢

Initial NPI Registration & Enumeration July 05, 2017

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: 1972024594

Entity Type:

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

Enumeration Date: July 05, 2017

Last Update: January 26, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

110 Liberty St

Brockton, MA 023015674

Phone: 5088940400

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.