Active NPI 1750362000 Individual Practitioner Male Practitioner

Dr. Daniel M Sullivan , MD

Surgery • Rochester Hills, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Sullivan, MD is a certified Surgery practicing in Rochester Hills, MI. With approximately 32 years of clinical experience since graduating from University Of Rochester School Of Medicine And Dentistry in 1994, Dr. Sullivan delivers high-quality medical care to the local community at 75 BARCLAY CIR.

Dr. Sullivan is affiliated with Rochester General Surgery Plc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, 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

75 Barclay Cir
Ste 200

Rochester Hills, MI 483074508

Telephone 2488539177

Fax 2488537258

Associated Practice Facility / Clinic

🏢 Northeast Pediatric Associates, P.c. Facility NPI 1578504288

Medicare Profile & Education

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Rochester Hills, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +9.4 yrs vs City Avg

City Avg: 22.6 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

20 Specialists

Practicing in Rochester Hills, MI (1479 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (32 Years) 32 Yrs

Rochester Hills Specialty Average (22.6 Years) 22.6 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	245	99	$116.80	$79.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	78	$300.00	$173.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	50	$150.00	$128.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$250.00	$163.18
99213 Established patient office or other outpatient visit, typically 15 minutes	32	22	$111.72	$85.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$175.00	$113.02
99238 Hospital discharge day management, 30 minutes or less	12	12	$166.67	$81.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	298	114	$103.22	$80.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	82	80	$300.00	$176.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	43	$150.00	$127.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$250.00	$169.73
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$100.00	$88.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$175.00	$114.95
49650 Repair of groin hernia using an endoscope	13	13	$1569.23	$539.11
47562 Removal of gallbladder using an endoscope	12	12	$1800.00	$714.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	275	125	$100.47	$73.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	100	97	$306.80	$205.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$250.00	$171.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	28	$150.00	$132.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	29	$200.00	$188.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$175.00	$117.61
99238 Hospital discharge day management, 30 minutes or less	15	15	$150.00	$74.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	295	133	$100.00	$74.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	112	109	$291.96	$208.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$250.00	$176.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$150.00	$135.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	22	$200.00	$189.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$159.00	$117.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$242.44	$142.13
99238 Hospital discharge day management, 30 minutes or less	18	17	$150.00	$74.97
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$100.00	$95.43
47562 Removal of gallbladder using an endoscope	12	12	$1800.00	$713.56
49650 Repair of groin hernia using an endoscope	11	11	$1527.27	$506.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	317	167	$104.29	$76.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	114	109	$284.05	$213.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$250.00	$173.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	29	$76.56	$41.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	38	$150.00	$112.20
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$100.00	$76.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$150.00	$109.02
49650 Repair of groin hernia using an endoscope	13	13	$1730.77	$489.60
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$187.00	$109.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$220.92	$146.13
47562 Removal of gallbladder using an endoscope	12	12	$1800.00	$719.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	235	125	$99.57	$75.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	126	121	$277.33	$210.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$250.00	$164.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	44	$150.00	$108.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	30	$54.00	$40.79
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$100.00	$74.90
99219 Hospital observation care, typically 50 minutes	21	21	$250.00	$141.92
47562 Removal of gallbladder using an endoscope	19	19	$1800.00	$713.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$223.60	$142.94
49650 Repair of groin hernia using an endoscope	15	15	$1900.00	$512.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$150.00	$112.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	274	131	$99.82	$75.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	140	133	$274.44	$209.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	37	$150.00	$108.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$250.00	$170.15
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$100.00	$72.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	15	$55.91	$40.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$150.00	$103.47
49650 Repair of groin hernia using an endoscope	14	14	$2142.86	$541.47
99219 Hospital observation care, typically 50 minutes	12	12	$245.83	$140.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$198.17	$141.82
47562 Removal of gallbladder using an endoscope	11	11	$1800.00	$732.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	305	159	$99.98	$72.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	155	149	$274.65	$206.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$250.00	$165.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	39	$150.00	$103.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$193.55	$140.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	11	$54.00	$40.20
99219 Hospital observation care, typically 50 minutes	19	19	$225.00	$128.64
47562 Removal of gallbladder using an endoscope	18	18	$1800.00	$694.77
49650 Repair of groin hernia using an endoscope	16	16	$1968.75	$392.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$150.00	$110.13
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$100.00	$69.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$225.00	$146.27
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$3500.00	$1050.49

Medical Specialties & State Licenses

CMS Verified: 2022-03-28

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301063953

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4386959-10 (MI)

Medicaid State Provider ID

438695910 (MI)

Hospital & Practice Group Affiliations

Rochester General Surgery Plc

75 Barclay Cir, Rochester Hills, MI 483075821

Phone: 2488539177

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Nina Kolbe , DO

Surgery

NPI 1053635946

Doctor of Osteopathic Medicine (D.O.)

Dr. Keith Hinshaw , MD

Surgery

NPI 1336128008

Doctor of Medicine (M.D.)

Dr. Renato Albaran , MD

Surgery

NPI 1386625440

Doctor of Medicine (M.D.)

Dr. Benjamin Johnson , MD

Surgery

NPI 1891248134

Doctor of Medicine (M.D.)

Dr. Robert Acho , DO

Surgery

NPI 1932631314

Doctor of Osteopathic Medicine (D.O.)

Kathleen Sisson , MS, PA-C

Physician Assistant

NPI 1952621450

Master of Science, Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 29, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2010

Registered at 75 BARCLAY CIR, STE 200, ROCHESTER HILLS, MI 483074508 (Tel: 2488539177)

📍

Updated Business Mailing Address January 29, 2010

Registered at 75 BARCLAY CIR, STE 200, ROCHESTER HILLS, MI 483074508 (Tel: 2488539177)

👤

Provider Name / Credentials Updated January 29, 2010

Recorded as DANIEL SULLIVAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2010

Surgery (License #4301063953 in MI)

🟢

Initial NPI Registration & Enumeration November 11, 2005

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: 1750362000

Entity Type:

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

Enumeration Date: November 11, 2005

Last Update: March 29, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

75 Barclay Cir, Ste 200

Rochester Hills, MI 483074508

Phone: 2488539177

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.