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Active NPI 1689707515 Individual Practitioner Male Practitioner

Michael D Sullivan , PA

Physician Assistant • Coppell, TX

Professional Overview & Biography Verified Profile Summary

Michael Sullivan, PA is a registered healthcare professional specializing in Physician Assistant in Coppell, TX. Practice services are available at 705 MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

705 Main St

Coppell, TX 750194742

Telephone 9723046400
Associated Practice Facility / Clinic
🏢 Lifestream Health Center Pa Facility NPI 1235363409

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Coppell, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.4 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
16 Specialists

Practicing in Coppell, TX (11140 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.3% 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 (2023)
Reporting Year:
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
379 228 $426.84 $107.44
99213 Established patient office or other outpatient visit, typically 15 minutes
69 60 $281.96 $73.53
81003 Automated urinalysis test
66 65 $15.67 $2.20
93000 Routine ekg using at least 12 leads including interpretation and report
59 57 $86.51 $12.06
G0442 Annual alcohol misuse screening, 5 to 15 minutes
56 56 $82.80 $15.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
41 41 $478.90 $109.20
83036 Hemoglobin A1C level
39 22 $60.38 $9.52
G0444 Annual depression screening, 5 to 15 minutes
34 34 $80.85 $15.70
77080 Dxa bone density measurement of hip, pelvis, spine
28 27 $241.29 $32.56
G0008 Administration of influenza virus vaccine
23 22 $94.43 $30.63
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
19 19 $110.00 $75.81

Medical Specialties & State Licenses

CMS Verified: 2024-10-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA00024

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Lori Spors

Nurse Practitioner - Primary Care

NPI 1154976538
NPI 1366447211

Doctor of Nursing Practice, Registered Nurse, Certified Pediatric Nurse Practitioner, Family Nurse Practitioner (Certified)

Susan Harris , CNM, FNP-C

Nurse Practitioner - Family

NPI 1407912827

Certified Nurse Midwife, Family Nurse Practitioner (Certified)

Dr. Brandon Charles , MD

Obstetrics & Gynecology

NPI 1609833276

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 14, 2024

Registered at 705 MAIN ST, COPPELL, TX 750194742 (Tel: 9723046400)

📍
Updated Business Mailing Address October 14, 2024

Registered at 705 MAIN ST, COPPELL, TX 750194742 (Tel: 9723046400)

NPI Profile Active October 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2014

Registered at 6500 SIERRA DR STE 150, IRVING, TX 750392480 (Tel: 9724435300)

📍
Updated Business Mailing Address October 30, 2014

Registered at 939 W GREENBRIAR LN, DALLAS, TX 752082623 (Tel: 2149425768)

👤
Provider Name / Credentials Updated October 30, 2014

Recorded as MICHAEL SULLIVAN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2014

Physician Assistant (License #PA00024 in TX)

🟢
Initial NPI Registration & Enumeration March 13, 2007

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: 1689707515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2007
Last Update: October 14, 2024
Sole Proprietor: No

Mailing Address

705 Main St

Coppell, TX 750194742

Phone: 9723046400

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.