Active NPI 1164592044 Individual Practitioner Male Practitioner

Dr. Bryan Tipton Sullivan , DPM

Podiatrist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Sullivan, DPM is a certified Podiatrist practicing in Jackson, MS. With approximately 40 years of clinical experience since graduating from California School Of Podiatric Medicine in 1986, Dr. Sullivan delivers high-quality medical care to the local community at 1915 DUNBARTON DRIVE.

Dr. Sullivan does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of foot, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1915 Dunbarton Drive

Jackson, MS 39216

Telephone 6019823338

Fax 6019822253

Associated Practice Facility / Clinic

🏢 Mississippi Foot And Surgical Center, Llc Facility NPI 1235209115

Medicare Profile & Education

Medical School

California School Of Podiatric Medicine

Graduation Year

1986

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Jackson, MS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +4.7 yrs vs City Avg

City Avg: 35.3 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

5 Specialists

Practicing in Jackson, MS (40 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (40 Years) 40 Yrs

Jackson Specialty Average (35.3 Years) 35.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	686	414	$169.46	$77.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	249	249	$204.82	$94.83
73620 X-ray of foot, 2 views	123	75	$50.07	$23.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	90	$238.65	$108.82
11730 Simple separation of fingernail or toenail from nail bed, first nail	100	97	$205.66	$95.60
97597 Removal of tissue from wound, 20.0 sq cm or less	98	36	$177.93	$82.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$302.78	$143.93
73630 X-ray of foot, minimum of 3 views	59	44	$60.29	$27.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	41	$327.96	$153.17
93922 Ultrasound study of arm and leg arteries	36	35	$141.38	$65.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	32	$102.73	$48.09
20550 Injection into tendon or ligament	16	13	$105.31	$49.27
20600 Aspiration and/or injection of fluid from small joint	15	14	$97.56	$45.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	202	$167.27	$77.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	155	$235.88	$109.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	177	177	$206.55	$96.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	124	102	$331.75	$153.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	99	$102.99	$48.30
73620 X-ray of foot, 2 views	112	73	$50.20	$23.54
11730 Simple separation of fingernail or toenail from nail bed, first nail	105	104	$207.89	$97.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$308.48	$144.49
73630 X-ray of foot, minimum of 3 views	76	58	$60.66	$28.35
97597 Removal of tissue from wound, 20.0 sq cm or less	65	22	$179.92	$84.32
93922 Ultrasound study of arm and leg arteries	58	54	$143.06	$67.14
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$131.97	$62.12
28285 Correction of toe joint deformity	19	14	$710.47	$236.55
11750 Permanent removal fingernail or toenail	17	14	$289.18	$123.35
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	14	12	$61.00	$28.52
20550 Injection into tendon or ligament	13	12	$106.22	$49.70
76000 Imaging guidance for procedure, 60 minutes or less	12	11	$73.29	$34.30
20600 Aspiration and/or injection of fluid from small joint	12	12	$96.86	$39.67

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	349	252	$101.92	$96.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	177	177	$95.18	$91.72
93922 Ultrasound study of arm and leg arteries	77	74	$91.67	$67.92
73620 X-ray of foot, 2 views	74	50	$26.27	$21.50
11730 Simple separation of fingernail or toenail from nail bed, first nail	69	66	$103.76	$89.86
73630 X-ray of foot, minimum of 3 views	66	47	$36.61	$25.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$164.81	$138.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	55	55	$271.35	$190.97
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$112.93	$78.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$195.11	$150.75
20600 Aspiration and/or injection of fluid from small joint	12	12	$54.55	$39.46

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	304	214	$90.08	$90.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	188	188	$92.11	$92.03
73620 X-ray of foot, 2 views	77	45	$21.00	$21.00
73630 X-ray of foot, minimum of 3 views	49	45	$24.00	$24.00
11730 Simple separation of fingernail or toenail from nail bed, first nail	42	42	$85.05	$84.40
20600 Aspiration and/or injection of fluid from small joint	13	12	$41.00	$41.00

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	233	183	$90.00	$89.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$92.00	$91.71
73620 X-ray of foot, 2 views	67	42	$21.00	$20.90
11730 Simple separation of fingernail or toenail from nail bed, first nail	29	27	$84.00	$83.54
73630 X-ray of foot, minimum of 3 views	22	19	$24.00	$23.95

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	399	272	$90.00	$87.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	211	211	$92.00	$90.23
73620 X-ray of foot, 2 views	87	54	$21.00	$20.50
11730 Simple separation of fingernail or toenail from nail bed, first nail	77	72	$84.00	$81.84
77077 X-ray of joints, multiple	44	31	$31.00	$29.94
73630 X-ray of foot, minimum of 3 views	26	25	$24.00	$23.47

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	438	289	$90.05	$88.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	234	234	$92.00	$88.47
73620 X-ray of foot, 2 views	74	46	$21.00	$20.64
77077 X-ray of joints, multiple	65	43	$31.57	$29.91
11730 Simple separation of fingernail or toenail from nail bed, first nail	62	59	$84.00	$82.64
73630 X-ray of foot, minimum of 3 views	21	20	$24.00	$23.44
20600 Aspiration and/or injection of fluid from small joint	17	15	$41.00	$39.74
64450 Injection of anesthetic agent, other peripheral nerve or branch	15	12	$70.00	$65.34

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	401	270	$90.04	$88.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	181	181	$92.00	$88.56
73620 X-ray of foot, 2 views	88	55	$21.00	$20.58
77077 X-ray of joints, multiple	77	47	$30.98	$29.85
11730 Simple separation of fingernail or toenail from nail bed, first nail	55	54	$84.00	$82.58
73630 X-ray of foot, minimum of 3 views	21	17	$25.00	$23.16

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License MS 80089

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00012910 (MS)

Commercial Insurance / Payer ID Railroad Medicare

480007636

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 05, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2008

Registered at 1915 DUNBARTON DRIVE, JACKSON, MS 39216 (Tel: 6019823338)

📍

Updated Business Mailing Address June 05, 2008

Registered at 1915 DUNBARTON DRIVE, JACKSON, MS 39216 (Tel: 6019823338)

👤

Provider Name / Credentials Updated June 05, 2008

Recorded as BRYAN SULLIVAN, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2008

Podiatrist (License #80089 in MS)

🟢

Initial NPI Registration & Enumeration November 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164592044

Entity Type:

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

Enumeration Date: November 08, 2006

Last Update: June 05, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1915 Dunbarton Drive

Jackson, MS 39216

Phone: 6019823338

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.