Active NPI 1063484061 Individual Practitioner Male Practitioner

Dr. Timothy Michael Sullivan , MD

Surgery - Vascular Surgery • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Sullivan, MD is a registered healthcare professional specializing in Surgery - Vascular Surgery in Minneapolis, MN. Practice services are available at 920 E 28TH ST under active NPI credentials.

Frequently performed procedures and clinical services include ultrasound study of arm and leg arteries, established patient outpatient office visit, new 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

920 E 28th St

Minneapolis, MN 554071139

Telephone 6128636800

Associated Practice Facility / Clinic

🏢 Allina Health System Facility NPI 1316901333

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Minneapolis, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.3 Yrs

State Avg: 21.0 Yrs

Regional Practice Density

19 Specialists

Practicing in Minneapolis, MN (99 Statewide)

Telehealth Adoption Rate

42.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.4% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93922 Ultrasound study of arm and leg arteries	11	11	$258.00	$63.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$199.00	$73.40
93922 Ultrasound study of arm and leg arteries	11	11	$254.00	$63.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$186.00	$71.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$111.00	$43.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$186.00	$69.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$278.00	$103.30

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License MN 44841

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Radiology - Vascular & Interventional Radiology

NUCC Taxonomy Code: 2085R0204X

State License MN 44841

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License SD 5847

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Radiology - Vascular & Interventional Radiology

NUCC Taxonomy Code: 2085R0204X

State License SD 5847

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Jason Rasmussen , MD

Surgery

NPI 1033191200

Doctor of Medicine (M.D.)

Dr. Katherin Leckie , MD

Surgery - Vascular Surgery

NPI 1033569231

Doctor of Medicine (M.D.)

Dr. Peter Alden , MD

Surgery - Vascular Surgery

NPI 1043262629

Doctor of Medicine (M.D.)

Dr. Nedaa Skeik , MD

Internal Medicine - Cardiovascular Disease

NPI 1295768554

Doctor of Medicine (M.D.)

Dr. Jason Alexander , MD

Surgery - Vascular Surgery

NPI 1346328820

Doctor of Medicine (M.D.)

Dr. Jesse Manunga , MD

Surgery - Vascular Surgery

NPI 1376730093

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 14, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2011

Registered at 920 E 28TH ST, MINNEAPOLIS, MN 554071139 (Tel: 6128636800)

📍

Updated Business Mailing Address November 14, 2011

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6122625000)

👤

Provider Name / Credentials Updated November 14, 2011

Recorded as TIMOTHY SULLIVAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2011

Radiology (License #44841 in MN)

🟢

Initial NPI Registration & Enumeration February 03, 2006

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: 1063484061

Entity Type:

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

Enumeration Date: February 03, 2006

Last Update: November 14, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6122625000

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.