WILLIAM J SULLIVAN (D.O.) – Internal Medicine Physician, NPI 1093805897
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,289 INTERNAL MEDICINE in KS
Loading map...
Provider Addresses for WILLIAM J SULLIVAN (D.O.)
Frontenac Avenue, Mount Pearl, Newfoundland, Newfoundland and Labrador, A1N 5G4, Canada
FRONTENAC, KS 667631023
Phone: (620) 231-8849
Fax: (620) 231-8847
Type: Mailing
608, Willard Street, Frontenac, Crawford County, Kansas, 66763, United States
FRONTENAC, KS 667632120
Phone: (620) 231-8849
Fax: (620) 231-8847
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $239.
Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: PFIZER INC. ($239).
Total Amount
$239
General + Research + Ownership
Payments
7
Total payment records
General Amount
$239
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $239 |
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: 2004-01-22
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 |
|---|---|---|---|---|
| I20040122000434 | I | Internal Medicine | KS | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 744 | 256 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 265 | 146 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 159 | 126 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 127 | 31 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 114 | 22 | $0 |
Insurance plans in this area (ZIP 66763)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | KS | 17003 | Destruction of 2-14 skin growths | 59 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | KS | |
| Family Practice | KS | |
| Clinical Psychologist | MO | |
| Physical Medicine And Rehabilitation | NE | |
| Internal Medicine, Pediatric Medicine | KS | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Clinical Psychologist | MO | |
| Emergency Medicine, Family Practice, Sports Medicine | MO | |
| Family Practice | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.