BRIAN SCOTT SULLIVAN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1265469209

BRIAN SCOTT SULLIVAN (DPM) is a healthcare provider. based in Springfield, New Jersey. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 25MD00275100 (NJ). The NPI Number for BRIAN SCOTT SULLIVAN (DPM) is 1265469209

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN SCOTT SULLIVAN (DPM)
NPI
1265469209
Phone
(973) 258-0111
Address
100 MORRIS AVE
Enumeration Date
26 June 2006
Last Update Date
2 December 2019

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9732580111
Graduation Year
2000 (26 years ago)
PAC ID
8426120486
Group Practice PAC ID
1355413311
Professional Enrollment ID
I20100126000244
Address ID
NJ070811423SP100XXAVEX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,074 PODIATRY in NJ

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Provider Addresses for BRIAN SCOTT SULLIVAN (DPM)

  • Foot & Ankle Physicians PA Springfield, New Jersey, 100, Morris Avenue, Springfield, Union County, New Jersey, 07081, United States

    STE 304

    SPRINGFIELD, NJ 070811427

    Phone: (973) 258-0111

    Fax: (973) 258-0122

    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 32 Open Payments records for all available years, with a total value of $1,651.

Total Amount is formed as General ($1,651) + Research ($0) + Ownership ($0) = $1,651.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Stryker Corporation ($930).

Total Amount

$1,651

General + Research + Ownership

Payments

32

Total payment records

General Amount

$1,651

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-01-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100126000244IPodiatryNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes532170$0
11042Removal of skin and tissue, 20.0 sq cm or less25842$0
99203New patient office or other outpatient visit, 30-44 minutes5858$0
73630X-ray of foot, minimum of 3 views4527$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg4119$0
View full utilization report →

Insurance plans in this area (ZIP 07081)

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Provider's Procedures

BRIAN SCOTT SULLIVAN (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYNJ11042Removal of skin and tissue first 20 sq cm or less14518
PODIATRYNJ73630X-ray of foot, minimum of 3 views9055

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: 1355413311View full group profile
NameSpecialtyState
P O D I A T R YNJ

Reviews

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Frequently asked questions

What is BRIAN SCOTT SULLIVAN (DPM)'s NPI number?
BRIAN SCOTT SULLIVAN (DPM)'s NPI is 1265469209 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to BRIAN SCOTT SULLIVAN (DPM)?
You should see BRIAN SCOTT SULLIVAN (DPM) as active in CMS-hosted NPPES data.
What kind of doctor is BRIAN SCOTT SULLIVAN (DPM)?
BRIAN SCOTT SULLIVAN (DPM) is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRIAN SCOTT SULLIVAN (DPM)?
Travel planning: use Springfield, New Jersey as the reference point for BRIAN SCOTT SULLIVAN (DPM), then confirm.
Can I trust this NPI listing for BRIAN SCOTT SULLIVAN (DPM)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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