MICHAEL L SULLIVAN (PA) – Surgical Physician Assistant, NPI 1740205863

MICHAEL L SULLIVAN (PA) is a healthcare provider. based in Orlando, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA3485 (FL). The NPI Number for MICHAEL L SULLIVAN (PA) is 1740205863

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL L SULLIVAN (PA)
NPI
1740205863
Phone
(941) 917-2600
Address
PO BOX 863407
Enumeration Date
12 July 2006
Last Update Date
4 April 2016

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
4880780048
Group Practice PAC ID
1355240177
Professional Enrollment ID
I20071018000656
Address ID
FL342392941SA1921XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MICHAEL L SULLIVAN (PA)

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328863407

    Phone: (941) 917-2600

    Fax: (941) 917-7884

    Type: Mailing

  • 1540, South Tamiami Trail, Avondale, Sarasota, Sarasota County, Florida, 34239, United States

    SUITE 303

    SARASOTA, FL 342392930

    Phone: (941) 917-8791

    Fax: (941) 917-8793

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,153.

Total Amount is formed as General ($1,153) + Research ($0) + Ownership ($0) = $1,153.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($487).

Total Amount

$1,153

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2007-10-18

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
I20071018000656IPhysician AssistantFLTBD

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
33533Coronary artery bypass using artery graft, 1 graft4040$0
33508Harvest of vein using an endoscope3838$0
33268Exclusion of appendage of left upper chamber of heart performed during other procedure on chest3232$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1715$0
33519Coronary artery bypass using vein or artery graft, 3 grafts1414$0
View full utilization report →

Insurance plans in this area (ZIP 32886)

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Provider's Procedures

MICHAEL L SULLIVAN (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL33518Combined multiple vein and artery heart artery bypasses1919

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: 1355240177View full group profile
NameSpecialtyState
Critical Care (Intensivists)FL
N E U R O L O G YFL
General SurgeryFL
-FL
-FL
Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseFL
Nurse PractitionerFL

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Frequently asked questions

How do I look up MICHAEL L SULLIVAN (PA) by NPI?
Use NPI 1740205863 when you need to reference MICHAEL L SULLIVAN (PA) in forms, claims, or directories.
Is MICHAEL L SULLIVAN (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MICHAEL L SULLIVAN (PA)'s specialty in plain language?
Clinically, the directory lists MICHAEL L SULLIVAN (PA) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MICHAEL L SULLIVAN (PA) practice in Florida?
You will see Orlando, Florida on file for MICHAEL L SULLIVAN (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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