DR. SCOTT J SULLIVAN (M.D.) – Diagnostic Radiology Physician, NPI 1790733822
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for DR. SCOTT J SULLIVAN (M.D.)
3600 Minnesota Dr Ste 800
Edina, MN 554357915
Phone: (952) 595-1100
Type: Location
49, Lake Avenue, Greenwich, Fairfield County, Connecticut, 06830, United States
GREENWICH, CT 068304501
Phone: (203) 861-2381
Fax: (203) 983-3318
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: 2026-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20110329000507 | I | Diagnostic Radiology | CT | TBD |
| I20181219002038 | I | Diagnostic Radiology | MT | TBD |
| I20190405001704 | I | Diagnostic Radiology | ME | TBD |
| I20210715003728 | I | Diagnostic Radiology | OR | TBD |
| I20221011000113 | I | Diagnostic Radiology | CO | TBD |
| I20250729004872 | I | Diagnostic Radiology | IL | TBD |
| I20251209003567 | I | Diagnostic Radiology | WY | TBD |
| I20260202002988 | I | Diagnostic Radiology | MN | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 941 | 760 | $0 |
| 70450 | Ct scan head or brain without contrast | 688 | 653 | $0 |
| 71046 | X-ray of chest, 2 views | 435 | 413 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 258 | 254 | $0 |
| 72125 | Ct scan of upper spine without contrast | 210 | 206 | $0 |
Insurance plans in this area (ZIP 55435)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CT | 71010 | X-ray of chest, 1 view, front | 745 | 519 |
| DIAGNOSTIC RADIOLOGY | CT | 71250 | CT scan chest | 83 | 78 |
| DIAGNOSTIC RADIOLOGY | CT | 73630 | X-ray of foot, minimum of 3 views | 25 | 23 |
| DIAGNOSTIC RADIOLOGY | CT | 74177 | CT scan of abdomen and pelvis with contrast | 105 | 101 |
| DIAGNOSTIC RADIOLOGY | CT | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 76 | 72 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Interventional Radiology | CT | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | PA | |
| Interventional Radiology | CT | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | CT |
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