Active NPI 1568418242 Individual Practitioner Male Practitioner

Michael A Sullivan , PA

Physician Assistant - Surgical • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Sullivan, PA is a certified Physician Assistant - Surgical practicing in Tyler, TX. With approximately 22 years of clinical experience since completing medical education in 2004, Michael Sullivan delivers high-quality medical care to the local community at 3414 GOLDEN RD.

Michael Sullivan is affiliated with Healthtexas Provider Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3414 Golden Rd

Tyler, TX 757018336

Telephone 9039397500

Fax 9039397725

Associated Practice Facility / Clinic

🏢 Tyler Anesthesia Group, Pa Facility NPI 1740228261

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +6.3 yrs vs City Avg

City Avg: 15.7 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

18 Specialists

Practicing in Tyler, TX (1367 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (22 Years) 22 Yrs

Tyler Specialty Average (15.7 Years) 15.7 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	248	36	$5.99	$1.00
99213 Established patient office or other outpatient visit, typically 15 minutes	108	85	$168.44	$73.32
20610 Aspiration and/or injection of fluid from large joint	66	47	$300.30	$58.28
73562 X-ray of knee, 3 views	55	38	$145.22	$32.64
73502 X-ray of hip, 2-3 views	45	36	$166.86	$37.96
27447 Replacement of knee joint, both sides of knee	19	17	$5307.79	$153.96
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$5312.91	$167.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$207.18	$90.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$238.22	$104.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	22	17	$145.22	$33.02
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$168.44	$73.47
20610 Aspiration and/or injection of fluid from large joint	15	12	$298.65	$57.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$207.18	$91.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	208	192	$871.39	$169.32
27130 Replacement of thigh bone and hip joint with prosthesis	90	87	$936.40	$168.77
73564 X-ray of knee, 4 or more views	72	53	$136.00	$38.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$334.00	$92.77
99213 Established patient office or other outpatient visit, typically 15 minutes	43	43	$233.00	$75.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$338.00	$104.75
73502 X-ray of hip, 2-3 views	36	35	$140.00	$39.36
J1100 Injection, dexamethasone sodium phosphate, 1 mg	34	14	$10.00	$0.12
20610 Aspiration and/or injection of fluid from large joint	20	20	$273.00	$61.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$510.00	$128.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	673	11	$37.23	$16.94
27447 Replacement of knee joint, both sides of knee	208	199	$1298.47	$170.14
73564 X-ray of knee, 4 or more views	136	99	$137.26	$38.30
27130 Replacement of thigh bone and hip joint with prosthesis	118	112	$1437.63	$167.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$320.08	$93.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	74	$284.64	$108.25
99213 Established patient office or other outpatient visit, typically 15 minutes	69	69	$216.07	$76.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg	64	30	$10.00	$0.16
20610 Aspiration and/or injection of fluid from large joint	41	41	$238.68	$57.11
73502 X-ray of hip, 2-3 views	39	38	$128.72	$38.90
73562 X-ray of knee, 3 views	24	20	$120.67	$33.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$435.75	$139.72
73523 X-ray of both hips, minimum of 5 views	14	14	$161.00	$51.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	207	149	$140.00	$34.85
27447 Replacement of knee joint, both sides of knee	205	194	$2552.90	$177.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	153	$200.00	$88.30
J1100 Injection, dexamethasone sodium phosphate, 1 mg	107	46	$10.00	$0.12
27130 Replacement of thigh bone and hip joint with prosthesis	102	99	$2990.00	$181.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$275.00	$88.34
99213 Established patient office or other outpatient visit, typically 15 minutes	81	80	$160.00	$61.67
73502 X-ray of hip, 2-3 views	80	78	$100.00	$36.95
20610 Aspiration and/or injection of fluid from large joint	62	59	$257.08	$56.69
73562 X-ray of knee, 3 views	44	38	$120.00	$31.87
73523 X-ray of both hips, minimum of 5 views	12	12	$139.00	$48.33
72170 X-ray of pelvis, 1-2 views	11	11	$104.00	$23.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$345.00	$136.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	864	12	$25.00	$11.34
27447 Replacement of knee joint, both sides of knee	208	197	$2564.24	$176.84
73564 X-ray of knee, 4 or more views	150	109	$140.00	$33.19
27130 Replacement of thigh bone and hip joint with prosthesis	118	114	$2990.00	$176.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	100	$200.00	$87.61
J1100 Injection, dexamethasone sodium phosphate, 1 mg	86	37	$10.00	$0.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$275.00	$88.65
99213 Established patient office or other outpatient visit, typically 15 minutes	70	69	$160.00	$60.44
20610 Aspiration and/or injection of fluid from large joint	52	50	$282.63	$58.51
73502 X-ray of hip, 2-3 views	35	35	$100.00	$34.59
73562 X-ray of knee, 3 views	28	23	$120.00	$29.98
73501 X-ray of hip with pelvis, 1 view	26	26	$91.00	$24.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$345.00	$134.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	181	168	$2531.69	$171.48
27130 Replacement of thigh bone and hip joint with prosthesis	104	102	$2990.00	$176.95
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	15	15	$3128.00	$205.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	144	141	$2964.20	$173.01
73564 X-ray of knee, 4 or more views	96	71	$140.00	$30.82
27130 Replacement of thigh bone and hip joint with prosthesis	80	78	$3382.44	$172.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	74	$200.00	$86.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg	74	28	$10.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	53	53	$160.00	$57.37
20610 Aspiration and/or injection of fluid from large joint	41	38	$247.39	$52.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$345.00	$128.76
73562 X-ray of knee, 3 views	31	27	$120.00	$28.05
73502 X-ray of hip, 2-3 views	22	21	$100.00	$32.43
72170 X-ray of pelvis, 1-2 views	16	16	$104.00	$24.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$275.00	$86.58

Medical Specialties & State Licenses

CMS Verified: 2022-10-27

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

187611201 (TX)

Commercial Insurance / Payer ID Bcbs

8X7926 (TX)

Hospital & Practice Group Affiliations

Healthtexas Provider Network

821 N Coleman St, Prosper, TX 750782339

Phone: 4698005200

Healthtexas Provider Network

2400 N I, Waxahachie, TX 751655240

Phone: 8179221770

Healthtexas Provider Network

1005 Legacy Ranch Rd, Waxahachie, TX 751651294

Phone: 4698009790

Healthtexas Provider Network

4001 Worth St, Dallas, TX 752461608

Secondary Practice Locations

305 W 20th St

Mt Pleasant, TX 754552327

Phone: 9039397500

Practice Associates & Co-Workers

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

40 Associated Practitioners

Lynsie Doughten , FNP-C

Nurse Practitioner - Family

NPI 1013754043

Family Nurse Practitioner (Certified)

Dr. Claire Tibiletti , MD

Pain Medicine - Interventional Pain Medicine

NPI 1013937556

Doctor of Medicine (M.D.)

Jordan Cooke , PA-C

Physician Assistant - Surgical

NPI 1033628383

Physician Assistant (Certified)

Marc Reimers , FNP-C

Nurse Practitioner - Family

NPI 1053946368

Family Nurse Practitioner (Certified)

Dr. Andrew Hester , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1063874071

Doctor of Medicine (M.D.)

Lindsey Markel , FNP-C

Nurse Practitioner - Family

NPI 1104450832

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2020

Physician Assistant

✅

NPI Profile Active February 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2015

Registered at 3414 GOLDEN RD, TYLER, TX 757018336 (Tel: 9039397500)

📍

Updated Business Mailing Address February 04, 2015

Registered at 3414 GOLDEN RD, TYLER, TX 757018336 (Tel: 9039397500)

👤

Provider Name / Credentials Updated February 04, 2015

Recorded as MICHAEL SULLIVAN, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2015

Physician Assistant (License #PA05139 in TX)

🟢

Initial NPI Registration & Enumeration May 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568418242

Entity Type:

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

Enumeration Date: May 25, 2006

Last Update: October 27, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3414 Golden Rd

Tyler, TX 757018336

Phone: 9039397500

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.