TIMOTHY FRANCIS SULLIVAN (M.S., PA-C) – Physician Assistant, NPI 1760412084

TIMOTHY FRANCIS SULLIVAN (M.S., PA-C) is a healthcare provider. based in Norwood, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials M.S., PA-C. They hold a License No. PA00358 (RI). The NPI Number for TIMOTHY FRANCIS SULLIVAN (M.S., PA-C) is 1760412084

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY FRANCIS SULLIVAN (M.S., PA-C)
NPI
1760412084
Phone
(781) 255-0500
Address
1210 BOSTON PROVIDENCE TPKE
Enumeration Date
3 July 2006
Last Update Date
5 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
4981651312
Group Practice PAC ID
1951305168
Professional Enrollment ID
I20140610001354
Address ID
MA017602415NA4XXXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for TIMOTHY FRANCIS SULLIVAN (M.S., PA-C)

  • Landry's Bicycles, 1210, Boston-Providence Turnpike, Norwood, Norfolk County, Massachusetts, 02062, United States

    NORWOOD, MA 020625061

    Phone: (781) 255-0500

    Fax: (781) 255-0400

    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)

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: 2014-06-10

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
I20140610001354IPhysician AssistantMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes502455$0
81002Urinalysis, manual test9184$0
99204New patient office or other outpatient visit, 45-59 minutes8686$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)8383$0
71046X-ray of chest, 2 views7774$0
View full utilization report →

Insurance plans in this area (ZIP 02062)

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Provider's Procedures

TIMOTHY FRANCIS SULLIVAN (M.S., PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMA81002Urinalysis, manual test9876

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: 1951305168View full group profile
NameSpecialtyState
Physician AssistantMA
Physician AssistantMA
Physician AssistantMA
Physician AssistantMA
Physician AssistantMA
Physician AssistantPA
Nurse PractitionerTX
Nurse PractitionerRI
Physician AssistantMA
Physician AssistantMA

Reviews

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Frequently asked questions

How do payers reference TIMOTHY FRANCIS SULLIVAN (M.S., PA-C)?
For TIMOTHY FRANCIS SULLIVAN (M.S., PA-C), use NPI 1760412084 as the unique 10-digit identifier.
Active or inactive — what applies to TIMOTHY FRANCIS SULLIVAN (M.S., PA-C)?
You should see TIMOTHY FRANCIS SULLIVAN (M.S., PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to TIMOTHY FRANCIS SULLIVAN (M.S., PA-C)?
TIMOTHY FRANCIS SULLIVAN (M.S., PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TIMOTHY FRANCIS SULLIVAN (M.S., PA-C)?
Travel planning: use Norwood, Massachusetts as the reference point for TIMOTHY FRANCIS SULLIVAN (M.S., PA-C), then confirm.
Does TIMOTHY FRANCIS SULLIVAN (M.S., PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.