DR. JOHN PATRICK SULLIVAN (M.D.) – Neurology Physician, NPI 1356353965

DR. JOHN PATRICK SULLIVAN (M.D.) is a healthcare provider. based in Fort myers, Florida. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. MD431312 (PA). The NPI Number for DR. JOHN PATRICK SULLIVAN (M.D.) is 1356353965

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN PATRICK SULLIVAN (M.D.)
NPI
1356353965
Phone
(239) 936-3554
Address
12670 WHITEHALL DR
Enumeration Date
12 August 2006
Last Update Date
18 November 2016

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9419363554
Graduation Year
2002 (24 years ago)
PAC ID
9335232214
Group Practice PAC ID
0840286407
Professional Enrollment ID
I20151117002029
Address ID
FL339073619FO12670DRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,847 NEUROLOGY in FL

Provider Addresses for DR. JOHN PATRICK SULLIVAN (M.D.)

  • 12670 WHITEHALL DR

    FORT MYERS, FL 339073619

    Phone: (239) 936-3554

    Fax: (239) 936-8993

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 248 Open Payments records for all available years, with a total value of $4,919.

Total Amount is formed as General ($4,919) + Research ($0) + Ownership ($0) = $4,919.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($494).

Total Amount

$4,919

General + Research + Ownership

Payments

248

Total payment records

General Amount

$4,919

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151117002029INeurologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0585Injection, onabotulinumtoxina, 1 unit11,10024$0
J0588Injection, incobotulinumtoxin a, 1 unit7,75012$0
99214Established patient office or other outpatient visit, 30-39 minutes1,388944$0
99215Established patient office or other outpatient visit, 40-54 minutes347248$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study298137$0
View full utilization report →

Insurance plans in this area (ZIP 33907)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840286407View full group profile
NameSpecialtyState
N E U R O L O G YFL
N E U R O L O G YFL
N E U R O L O G YFL
-FL
N E U R O L O G YFL
N E U R O L O G YIN
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do I look up DR. JOHN PATRICK SULLIVAN (M.D.) by NPI?
Use NPI 1356353965 when you need to reference DR. JOHN PATRICK SULLIVAN (M.D.) in forms, claims, or directories.
Is DR. JOHN PATRICK SULLIVAN (M.D.) active in the national directory?
DR. JOHN PATRICK SULLIVAN (M.D.)'s public NPI profile is in an active state.
Can you summarize DR. JOHN PATRICK SULLIVAN (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. JOHN PATRICK SULLIVAN (M.D.) with Neurology Physician. Clinical services aligned with this taxonomy classification.
Does DR. JOHN PATRICK SULLIVAN (M.D.) practice in Florida?
You will see Fort Myers, Florida on file for DR. JOHN PATRICK SULLIVAN (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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