MR. TIMOTHY JOSEPH SULLIVAN (M.D.) – Family Medicine Physician, NPI 1376524611
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
Provider Addresses for MR. TIMOTHY JOSEPH SULLIVAN (M.D.)
1336 W A STE A
CODDINGTON MEDICAL FAMILY PRACTICE
LINCOLN, NE 685221231
Phone: (402) 438-0101
Fax: (402) 817-1245
Type: Location
7711 W WALIN LN
LINCOLN, NE 685329200
Phone: (402) 742-2502
Fax: (402) 817-1245
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: 2010-05-11
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 |
|---|---|---|---|---|
| I20100511000916 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 583 | 212 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 321 | 203 | $0 |
| 81003 | Automated urinalysis test | 176 | 148 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 103 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 109 | 17 | $0 |
Insurance plans in this area (ZIP 68522)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Physician Assistant | NE |
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