Dr. Patrick Sullivan, MD - Emergency Medicine in Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Sullivan, MD is a certified Emergency Medicine practicing in Providence, RI. With approximately 16 years of clinical experience since graduating from Tufts University School Of Medicine in 2010, Dr. Sullivan delivers high-quality medical care to the local community at 164 SUMMIT AVE.

Dr. Sullivan maintains professional affiliations with Lifespan Physician Group Of Massachusetts Inc, Brown Emergency Medicine and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

164 Summit Ave

Providence, RI 029062894

Telephone 4017933000

Associated Practice Facility / Clinic

🏢 The Miriam Hospital Facility NPI 1487649430

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

2010

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Providence, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +0.8 yrs vs City Avg

City Avg: 15.2 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

246 Specialists

Practicing in Providence, RI (427 Statewide)

Telehealth Adoption Rate

0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (16 Years) 16 Yrs

Providence Specialty Average (15.2 Years) 15.2 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
99285 Emergency department visit for life threatening or functioning severity	169	169	$1375.99	$172.04
99284 Emergency department visit with moderate level of medical decision making	91	90	$947.06	$118.95
99291 Critical care, first 30-74 minutes	28	28	$1787.72	$209.33
99283 Emergency department visit with low level of medical decision making	26	24	$500.98	$69.88
99239 Hospital discharge day management, more than 30 minutes	15	15	$994.48	$113.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$1504.66	$171.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	213	210	$699.40	$175.92
99284 Emergency department visit with moderate level of medical decision making	137	134	$478.45	$120.26
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	110	105	$25.00	$8.19
99291 Critical care, first 30-74 minutes	54	54	$930.32	$209.88
99283 Emergency department visit with low level of medical decision making	16	16	$337.46	$72.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$692.33	$174.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	259	255	$529.00	$182.70
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	252	235	$25.00	$8.57
99284 Emergency department visit with moderate level of medical decision making	140	135	$366.00	$125.70
99291 Critical care, first 30-74 minutes	79	76	$800.00	$225.07
99283 Emergency department visit with low level of medical decision making	47	47	$281.00	$74.45
99217 Hospital observation care on day of discharge	28	28	$221.00	$74.06
99226 Subsequent observation care, typically 35 minutes per day	19	15	$312.00	$104.28
99220 Hospital observation care, typically 70 minutes	16	16	$550.00	$184.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	205	199	$813.34	$184.88
99284 Emergency department visit with moderate level of medical decision making	154	149	$640.19	$126.92
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	84	83	$25.00	$8.63
99291 Critical care, first 30-74 minutes	44	44	$1236.53	$227.08
99283 Emergency department visit with low level of medical decision making	42	42	$352.61	$74.70
99217 Hospital observation care on day of discharge	23	23	$400.91	$74.61
99220 Hospital observation care, typically 70 minutes	20	20	$966.88	$187.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	155	151	$996.78	$182.54
99284 Emergency department visit with moderate level of medical decision making	123	123	$686.06	$124.42
99291 Critical care, first 30-74 minutes	50	49	$1298.80	$234.15
99283 Emergency department visit with low level of medical decision making	33	33	$362.92	$68.52
99217 Hospital observation care on day of discharge	22	20	$493.42	$76.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	182	180	$922.09	$178.44
99284 Emergency department visit with moderate level of medical decision making	145	142	$634.65	$121.28
99291 Critical care, first 30-74 minutes	57	56	$1201.48	$229.53
99283 Emergency department visit with low level of medical decision making	47	47	$335.73	$63.98
99217 Hospital observation care on day of discharge	17	17	$456.45	$75.59
99220 Hospital observation care, typically 70 minutes	12	12	$1008.32	$191.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	142	139	$867.44	$173.78
99284 Emergency department visit with moderate level of medical decision making	134	132	$597.04	$118.64
99283 Emergency department visit with low level of medical decision making	50	50	$315.83	$62.54
99291 Critical care, first 30-74 minutes	27	27	$1130.27	$225.42
99217 Hospital observation care on day of discharge	13	13	$429.40	$74.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	180	179	$836.30	$167.79
99284 Emergency department visit with moderate level of medical decision making	148	147	$576.56	$113.93
99283 Emergency department visit with low level of medical decision making	50	50	$303.68	$59.96
99291 Critical care, first 30-74 minutes	41	41	$1086.80	$216.62

Medical Specialties & State Licenses

CMS Verified: 2026-07-02

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MA 282126

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License RI MD14523

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110099845A (MA)

Hospital & Practice Group Affiliations

Lifespan Physician Group Of Massachusetts Inc

88 Washington St, Taunton, MA 027802465

Phone: 5088287000

Brown Emergency Medicine

593 Eddy St, Providence, RI 029034923

Phone: 4014444000

Secondary Practice Locations

20 Powel Ave

Newport, RI 02840

Phone: 4018466400

88 Washington St

Taunton, MA 027802499

Phone: 5088287000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Patricia Hoffman

Pharmacist

NPI 1871187765

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location October 30, 2023

Registered at 164 SUMMIT AVE, PROVIDENCE, RI 029062894 (Tel: 4017933000)

📍

Updated Business Mailing Address October 30, 2023

Registered at 125 WHIPPLE ST STE 3, PROVIDENCE, RI 029083258 (Tel: 4018542504)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2022

Emergency Medicine (License #MD14523 in RI)

📍

Updated Practice Location September 10, 2021

Registered at 101 PAGE ST, NEW BEDFORD, MA 027403464 (Tel: 5089735771)

📍

Updated Business Mailing Address September 10, 2021

Registered at 101 PAGE ST, NEW BEDFORD, MA 027403464 (Tel: 5089735771)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2021

Emergency Medicine (License #282126 in MA)

✅

NPI Profile Active July 09, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2014

Registered at 593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 029034923 (Tel: 4014445175)

📍

Updated Business Mailing Address July 09, 2014

Registered at 125 WHIPPLE ST, 3RD FLOOR, PROVIDENCE, RI 029083258 (Tel: 4018542504)

👤

Provider Name / Credentials Updated July 09, 2014

Recorded as PATRICK SULLIVAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2014

Emergency Medicine (License #MD14523 in RI)

🟢

Initial NPI Registration & Enumeration June 03, 2010

First registered as active Individual Practitioner in NPPES Database.

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Dr. Patrick B. Sullivan , MD