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Active NPI 1295022903 Individual Practitioner Male Practitioner

Dr. Joseph R Sullivan , DO

Surgery • St Francis, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Sullivan, DO is a certified Surgery practicing in St Francis, WI. With approximately 15 years of clinical experience since graduating from Lincoln Mem Univ, Debusk Col Of Osteopathic Med in 2011, Dr. Sullivan delivers high-quality medical care to the local community at 2000 E LAYTON AVE.

Dr. Sullivan maintains professional affiliations with Deaconess Memorial Medical Center Inc, Watertown Physician Practices Llc, Deaconess Specialty Physicians, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2000 E Layton Ave

St Francis, WI 532356053

Telephone 4147446589
Associated Practice Facility / Clinic
🏢 Lakeshore Medical Clinic, Llc Facility NPI 1003861188

Medicare Profile & Education

Medical School

Lincoln Mem Univ, Debusk Col Of Osteopathic Med

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in St Francis, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs Matches City Avg
City Avg: 15.0 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
1 Specialists

Practicing in St Francis, WI (765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (15 Years) 15 Yrs
St Francis Specialty Average (15.0 Years) 15.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
43 43 $186.00 $100.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
33 32 $390.48 $120.11
99213 Established patient office or other outpatient visit, typically 15 minutes
31 26 $130.00 $84.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
28 22 $207.64 $72.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes
15 13 $112.00 $45.61
99238 Hospital discharge day management, 30 minutes or less
12 12 $205.00 $75.04

Medical Specialties & State Licenses

CMS Verified: 2024-02-06
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 65368-21

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MI 5101019532

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100058377 (WI)

Hospital & Practice Group Affiliations

Deaconess Memorial Medical Center Inc

800 W 9th St, Jasper, IN 475462514

Phone: 8129960188

Deaconess Specialty Physicians, Inc

721 W 13th St, Jasper, IN 475461855

Phone: 8129965671

Deaconess Memorial Medical Center Inc

721 W 13th St, Jasper, IN 475461817

Watertown Physician Practices Llc

123 Hospital Dr, Watertown, WI 530983320

Phone: 9202063042

Deaconess Memorial Medical Center Inc

303 N Meridian St, Holland, IN 475419656

Phone: 8125363943

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Radiology - Diagnostic Radiology

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Doctor of Medicine (M.D.)

Dr. Jonathan Lubens , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1023103991

Doctor of Medicine (M.D.)

Dr. Massihullah Hamidi , MD, PhD

Radiology - Diagnostic Radiology

NPI 1043509680

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Richard Hayes , MD

Internal Medicine

NPI 1053499566

Doctor of Medicine (M.D.)

NPI 1093896698

Doctor of Chiropractic

Dr. Ahmet Demircioglu , MD

Internal Medicine - Geriatric Medicine

NPI 1114005642

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2016

Registered at 2000 E LAYTON AVE, ST FRANCIS, WI 532356053 (Tel: 4147446589)

📍
Updated Business Mailing Address September 02, 2016

Registered at 2000 E LAYTON AVE, ST FRANCIS, WI 532356053 (Tel: 4147446589)

👤
Provider Name / Credentials Updated September 02, 2016

Recorded as JOSEPH SULLIVAN, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2016

Surgery (License #65368-21 in WI)

🟢
Initial NPI Registration & Enumeration July 01, 2011

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: 1295022903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2011
Last Update: February 06, 2024
Sole Proprietor: No

Mailing Address

2000 E Layton Ave

St Francis, WI 532356053

Phone: 4147446589

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.