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Active NPI 1538169792 Individual Practitioner Male Practitioner

Tim B Osullivan , NP

Registered Nurse • Maumee, OH

Professional Overview & Biography Verified Profile Summary

Tim Osullivan, NP is a registered healthcare professional specializing in Registered Nurse in Maumee, OH. Practice services are available at 4444 GREGORY DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4444 Gregory Dr

Maumee, OH 435371822

Telephone 4198937606

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Maumee, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
32 Specialists

Practicing in Maumee, OH (9958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.8% 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 (2017)
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
251 117 $128.00 $87.55
99213 Established patient office or other outpatient visit, typically 15 minutes
211 121 $92.00 $59.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
51 51 $165.00 $93.93
G0008 Administration of influenza virus vaccine
23 23 $33.00 $23.76
90662 Influenza vaccine split virus, preservative free
21 21 $56.00 $48.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
13 13 $240.00 $139.15
G0009 Administration of pneumococcal vaccine
11 11 $33.00 $23.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
11 11 $127.00 $94.49

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License OH RN154376

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License OH 154376

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2346634 (OH)
Commercial Insurance / Payer ID Rrmc
P00186819 (OH)
Commercial Insurance / Payer ID Anthem
000000379377 (OH)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location March 19, 2019

Registered at 4444 GREGORY DR, MAUMEE, OH 435371822 (Tel: 4198937606)

📍
Updated Business Mailing Address March 19, 2019

Registered at 4444 GREGORY DR, MAUMEE, OH 435371822 (Tel: 4198937906)

NPI Profile Active June 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2017

Registered at 5700 MONROE ST UNIT 207, SYLVANIA, OH 435602735 (Tel: (419) 843-8150)

📍
Updated Business Mailing Address June 01, 2017

Registered at 5700 MONROE ST UNIT 207, SYLVANIA, OH 435602735 (Tel: (419) 843-8150)

👤
Provider Name / Credentials Updated June 01, 2017

Recorded as TIM OSULLIVAN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2017

Registered Nurse (License #154376 in OH)

NPI Profile Active August 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2016

Registered at 3909 WOODLEY RD, SUITE 600, TOLEDO, OH 436061169 (Tel: 4192916760)

📍
Updated Business Mailing Address August 09, 2016

Registered at 3909 WOODLEY RD, SUITE 600, TOLEDO, OH 436061169 (Tel: 4192916760)

👤
Provider Name / Credentials Updated August 09, 2016

Recorded as TIM OSULLIVAN, RN,NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2016

Registered Nurse (License #RN154376 in OH)

🟢
Initial NPI Registration & Enumeration July 28, 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: 1538169792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2005
Last Update: March 19, 2019
Sole Proprietor: No

Mailing Address

4444 Gregory Dr

Maumee, OH 435371822

Phone: 4198937906

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.