DONALD NICHOLAS SULLIVAN (M.D.) – Orthopaedic Surgery Physician, NPI 1154511517

DONALD NICHOLAS SULLIVAN (M.D.) is a healthcare provider. based in Mt zion, Illinois. specializing in ORTHOPEDIC SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. 125-052745 (IL). The NPI Number for DONALD NICHOLAS SULLIVAN (M.D.) is 1154511517

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DONALD NICHOLAS SULLIVAN (M.D.)
NPI
1154511517
Phone
(217) 864-2665
Address
104 ASHLAND
Enumeration Date
31 July 2007
Last Update Date
13 July 2022

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
2178642665
Graduation Year
2007 (19 years ago)
PAC ID
4486894508
Group Practice PAC ID
4981844289
Professional Enrollment ID
I20130719000134
Address ID
IL625491271MT104XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,265 ORTHOPEDIC SURGERY in IL

Provider Addresses for DONALD NICHOLAS SULLIVAN (M.D.)

  • 104 ASHLAND

    MT ZION, IL 62549

    Phone: (217) 864-2665

    Fax: (217) 864-8042

    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 6 Open Payments records for all available years, with a total value of $285.

Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.

Last reported payment date: 2024-02-13 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($167).

Total Amount

$285

General + Research + Ownership

Payments

6

Total payment records

General Amount

$285

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-13

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: 2013-07-19

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
I20130719000134IOrthopedic SurgeryILTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg876150$0
73564X-ray of knee, 4 or more views629335$0
99213Established patient office or other outpatient visit, 20-29 minutes609416$0
73502X-ray of hip, 2-3 views369198$0
99214Established patient office or other outpatient visit, 30-39 minutes307249$0
View full utilization report →

Insurance plans in this area (ZIP 62549)

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Provider's Procedures

DONALD NICHOLAS SULLIVAN (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYIL20610Aspiration and/or injection of large joint or joint capsule175128
ORTHOPEDIC SURGERYIL27447Repair of knee joint4846
ORTHOPEDIC SURGERYIL73110X-ray of wrist, minimum of 3 views4719

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: 4981844289View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
-IL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL
Orthopedic SurgeryIL
P O D I A T R YIL
Nurse PractitionerIL
Nurse PractitionerIL

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Frequently asked questions

What identifier follows DONALD NICHOLAS SULLIVAN (M.D.) across health systems?
The NPI 1154511517 uniquely identifies DONALD NICHOLAS SULLIVAN (M.D.) in U.S. healthcare data.
Is DONALD NICHOLAS SULLIVAN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DONALD NICHOLAS SULLIVAN (M.D.) as active.
Which specialty label fits DONALD NICHOLAS SULLIVAN (M.D.)?
NPPES ties DONALD NICHOLAS SULLIVAN (M.D.) to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DONALD NICHOLAS SULLIVAN (M.D.) in Mt Zion, Illinois?
For routing, start with Mt Zion, Illinois for DONALD NICHOLAS SULLIVAN (M.D.), then verify phone and hours locally.
Why is information missing for DONALD NICHOLAS SULLIVAN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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