THEODORE K. SULLIVAN (O.D.) – Optometrist, NPI 1437153772
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for THEODORE K. SULLIVAN (O.D.)
2021 MAPLEWOOD COMMONS DR
MAPLEWOOD, MO 631431003
Phone: (314) 860-2020
Fax: (314) 860-2020
Type: Mailing
675 OLD BALLAS RD STE 220
SAINT LOUIS, MO 631417083
Phone: (314) 997-3937
Type: Location
15933 CLAYTON RD STE 201
BALLWIN, MO 630112172
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
2021 Maplewood Commons Dr
Maplewood, MO 631431003
Phone: (314) 860-2020
Fax: (314) 860-2020
Type: Location
Clarkson Eyecare, 3071, Phoenix Center Drive, Phoenix Center II, Washington, Franklin County, Missouri, 63090, United States
WASHINGTON, MO 630905690
Phone: (636) 777-2345
Fax: (636) 777-2115
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $267.
Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: CooperVision Inc. ($225).
Total Amount
$267
General + Research + Ownership
Payments
9
Total payment records
General Amount
$267
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $225 |
| ABBVIE INC. | $21 |
| Bausch & Lomb Americas Inc. | $21 |
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: 2023-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100914000260 | I | Optometry | MO | TBD |
| I20230103001252 | I | Optometry | KY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 133 | 116 | $0 |
| 92250 | Photography of the retina | 121 | 120 | $0 |
| 92082 | Exam of visual field with intermediate testing | 114 | 113 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 75 | 75 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 26 | $0 |
Insurance plans in this area (ZIP 63143)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | MO | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 452 | 299 |
| OPTOMETRY | MO | 92083 | Measurement of field of vision during daylight conditions | 86 | 80 |
| OPTOMETRY | MO | 92134 | Diagnostic imaging of retina | 93 | 83 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | MO |
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