DR. LISA MARIE SULLIVAN (M.D.) – Allergy & Immunology Physician, NPI 1386650273
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
274 ALLERGY/IMMUNOLOGY in FL
Provider Addresses for DR. LISA MARIE SULLIVAN (M.D.)
770, Rice Street, Highland Park, Illinois, 60035, United States
HIGHLAND PARK, IL 600355014
Phone: (847) 863-4627
Fax: (847) 520-0500
Type: Mailing
19818 Cypress Bridge Dr
Odessa, FL 335564399
Phone: (847) 805-8088
Fax: (847) 805-8844
Type: Location
4604 CHEVAL BLVD
LUTZ, FL 335585343
Phone: (847) 805-8088
Fax: (847) 805-8844
Type: Mailing
737, St Johns Avenue, Ravinia, Highland Park, Illinois, 60035, United States
HIGHLAND PARK, IL 600354650
Phone: (847) 805-8088
Fax: (847) 805-8844
Type: Location
19818 CYPRESS BRIDGE DR
ODESSA, FL 335564399
Phone: (847) 805-8088
Fax: (847) 805-8844
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-09-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080929000395 | I | Allergy/Immunology | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 27 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 17 | $0 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t | 16 | 13 | $0 |
Insurance plans in this area (ZIP 60035)
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