DR. MICHAEL J. III SULLIVAN (M.D.) – Specialist, NPI 1144282096
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
34 ALLERGY/IMMUNOLOGY in NE
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Provider Addresses for DR. MICHAEL J. III SULLIVAN (M.D.)
Medical & Dental Building, 600, North Cotner Boulevard, Riley, Lincoln, Lancaster County, Nebraska, 68510, United States
SUITE 208
LINCOLN, NE 685052343
Phone: (402) 464-5969
Fax: (402) 464-3657
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)
CMS reports 30 Open Payments records for all available years, with a total value of $2,193.
Total Amount is formed as General ($2,193) + Research ($0) + Ownership ($0) = $2,193.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Consortium of Independent Immunology Clinics, LLC ($1,667).
Total Amount
$2,193
General + Research + Ownership
Payments
30
Total payment records
General Amount
$2,193
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
1
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-06-26
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 |
|---|---|---|---|---|
| I20100626000192 | I | Allergy/Immunology | NE | 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 |
|---|---|---|---|---|
| J2357 | Injection, omalizumab, 5 mg | 1,980 | 19 | $0 |
| 95004 | Test for allergy using allergenic extract | 777 | 18 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 215 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 181 | 132 | $0 |
| 95117 | Professional service for multiple injections of allergen | 159 | 71 | $0 |
Insurance plans in this area (ZIP 68505)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | NE | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 3243 | 66 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | MN | |
| - | NE | |
| - | NE | |
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| A L L E R G Y/ I M M U N O L O G Y | NE | |
| Allergy/Immunology, Pediatric Medicine | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Allergy/Immunology, Internal Medicine | NE | |
| Physician Assistant | NE |
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