DR. TORY SULLIVAN (M.D.) – Dermatology Physician, NPI 1639137169

DR. TORY SULLIVAN (M.D.) is a healthcare provider. based in North miami beach, Florida. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. ME81131 (FL). The NPI Number for DR. TORY SULLIVAN (M.D.) is 1639137169

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. TORY SULLIVAN (M.D.)
NPI
1639137169
Phone
(305) 652-8600
Address
16100 NE 16TH AVE STE A
Enumeration Date
3 May 2006
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3056528600
Graduation Year
1997 (29 years ago)
PAC ID
0648178053
Group Practice PAC ID
2365460599
Professional Enrollment ID
I20031223000146
Address ID
FL331624708NO16100AVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for DR. TORY SULLIVAN (M.D.)

  • 16100 NE 16TH AVE STE A

    NORTH MIAMI BEACH, FL 331624708

    Phone: (305) 652-8600

    Fax: (305) 652-3139

    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 210 Open Payments records for all available years, with a total value of $110,974.

Total Amount is formed as General ($42,804) + Research ($68,171) + Ownership ($0) = $110,974.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($51,362).

Total Amount

$110,974

General + Research + Ownership

Payments

210

Total payment records

General Amount

$42,804

General payments

Research Amount

$68,171

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2003-12-23

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
I20031223000146IDermatologyFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,974222$0
99213Established patient office or other outpatient visit, 20-29 minutes450295$0
17000Destruction of precancer skin growth, 1 growth340239$0
99214Established patient office or other outpatient visit, 30-39 minutes195129$0
17004Destruction of precancer skin growth, 15 or more growths116100$0
View full utilization report →

Insurance plans in this area (ZIP 33162)

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Provider's Procedures

DR. TORY SULLIVAN (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL11101Biopsy of each additional growth of skin and/or tissue3728
DERMATOLOGYFL17003Destruction of 2-14 skin growths1019106

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: 2365460599View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL

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Frequently asked questions

What unique ID ties claims to DR. TORY SULLIVAN (M.D.)?
NPI 1639137169 is assigned to DR. TORY SULLIVAN (M.D.) under the national enumeration system.
Is DR. TORY SULLIVAN (M.D.)'s NPI currently valid?
The extract we use shows DR. TORY SULLIVAN (M.D.) as active.
What field does DR. TORY SULLIVAN (M.D.) work in?
You can think of DR. TORY SULLIVAN (M.D.) as practicing within Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. TORY SULLIVAN (M.D.)?
We surface North Miami Beach, Florida for DR. TORY SULLIVAN (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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