Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619368941 Individual Practitioner Male Practitioner

Dr. Jimmy Brian Sullivan , DC

Chiropractor • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jimmy Sullivan, DC is a certified Chiropractor practicing in Tyler, TX. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Sullivan delivers high-quality medical care to the local community at 1540 RICE RD STE 400.

Dr. Sullivan accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1540 Rice Rd Ste 400

Tyler, TX 757033223

Telephone 9035979021
Associated Practice Facility / Clinic
🏢 Four-Ten Enterprise, Llc Facility NPI 1619497401

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Tyler, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -9.4 yrs vs City Avg
City Avg: 22.4 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
66 Specialists

Practicing in Tyler, TX (7266 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (13 Years) 13 Yrs
Tyler Specialty Average (22.4 Years) 22.4 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
98941 Chiropractic manipulative treatment, 3-4 spinal regions
398 44 $55.00 $37.80

Medical Specialties & State Licenses

CMS Verified: 2023-01-17
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License TX 12808

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare
583300AC3Z (TX)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location January 17, 2023

Registered at 1540 RICE RD STE 400, TYLER, TX 757033223 (Tel: 9035979021)

📍
Updated Business Mailing Address January 17, 2023

Registered at 1540 RICE RD STE 400, TYLER, TX 757033223 (Tel: 9035979021)

NPI Profile Active July 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2017

Registered at 621 SHELLEY PARK PLZ, TYLER, TX 757019457 (Tel: (903) 597-9021)

📍
Updated Business Mailing Address July 31, 2017

Registered at 621 SHELLEY PARK PLZ, TYLER, TX 757019457 (Tel: (903) 597-9021)

👤
Provider Name / Credentials Updated July 31, 2017

Recorded as JIMMY SULLIVAN, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2017

Chiropractor (License #12808 in TX)

📍
Updated Practice Location June 13, 2017

Registered at 621 SHELLEY PARK PLZ, TYLER, TX 757019457 (Tel: (903) 597-9021)

📍
Updated Business Mailing Address June 13, 2017

Registered at 621 SHELLEY PARK PLZ, TYLER, TX 757019457 (Tel: (903) 597-9021)

NPI Profile Active February 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2015

Registered at 1913 MICHELLE CREEK DR, LITTLE ELM, TX 750684857 (Tel: 3182823537)

📍
Updated Business Mailing Address February 09, 2015

Registered at 1913 MICHELLE CREEK DR, LITTLE ELM, TX 750684857 (Tel: 3182823537)

👤
Provider Name / Credentials Updated February 09, 2015

Recorded as JIMMY SULLIVAN, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2015

Chiropractor (License #12808 in TX)

🟢
Initial NPI Registration & Enumeration February 09, 2015

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: 1619368941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2015
Last Update: January 17, 2023
Sole Proprietor: Yes

Mailing Address

1540 Rice Rd Ste 400

Tyler, TX 757033223

Phone: 9035979021

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.