DR. JONATHAN M SULLIVAN (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1528387958

Foot & Ankle Surgery Podiatrist

DR. JONATHAN M SULLIVAN (D.P.M.) is a healthcare provider. based in Sidney, Ohio. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 36003666 (OH). The NPI Number for DR. JONATHAN M SULLIVAN (D.P.M.) is 1528387958

Main info

Male

Sole Proprietor

16 Years Of Experience

Accepts Medicare Assignment

Name

DR. JONATHAN M SULLIVAN (D.P.M.)

NPI

1528387958

Phone

(937) 492-1211

Address

1000 Michigan St

Enumeration Date

25 May 2010

Last Update Date

31 March 2021

Doctor Profile

Medical School Name

TEMPLE UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

Graduation Year

2010 (16 years ago)

PAC ID

6901047125

Group Practice PAC ID

4981986288

Professional Enrollment ID

I20210211000267

Address ID

FL327711013SA1200XLNXX400

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience56

Completeness75

Years active:16State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for DR. JONATHAN M SULLIVAN (D.P.M.)

1000 Michigan St
Sidney, OH 453652404
Phone: (937) 492-1211
Fax: (937) 492-6557
Type: Location
1000 MICHIGAN ST
SIDNEY, OH 453652404
Phone: (937) 492-1211
Fax: (937) 492-6557
Type: Mailing
1890 LPGA BLVD STE 230
DAYTONA BEACH, FL 321177131
Phone: (386) 274-3336
Fax: (386) 274-3660
Type: Mailing
11 FLORIDA PARK DR N
PALM COAST, FL 321373866
Phone: (386) 445-4734
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $524.

Total Amount is formed as General ($524) + Research ($0) + Ownership ($0) = $524.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Shockwave Medical, Inc ($140).

Total Amount

$524

General + Research + Ownership

Payments

Total payment records

General Amount

$524

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Shockwave Medical, Inc	$140
Smith+Nephew, Inc.	$67
Amgen Inc.	$56
ABBVIE INC.	$41
Advanced Oxygen Therapy Inc.	$38

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: 2021-02-11

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

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
I20210211000267	I	Podiatry	FL	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
11721	Removal of fingernails or toenails, 6 or more nails	731	227	$0
99213	Established patient office or other outpatient visit, 20-29 minutes	719	356	$0
11056	Removal of noncancer thickened skin growth, 2-4 growths	475	133	$0
11720	Removal of fingernails or toenails, 1-5 nails	406	107	$0
G0127	Trimming of dystrophic nails, any number	401	104	$0

View full utilization report →

Insurance plans in this area (ZIP 45365)

Loading plans...

Provider's Procedures

DR. JONATHAN M SULLIVAN (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PODIATRY	OH	73630	X-ray of foot, minimum of 3 views	423	213
PODIATRY	OH	76942	Ultrasonic guidance imaging supervision and interpretation for insertion of needle	49	23

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: 4981986288View full group profile

Name	Specialty	State
DR. APRIL LOUISE OXFORD (MD)	Internal Medicine	FL
MRS. KATHERINE LILLIAN CHAN (MD)	Family Practice	FL
BRYAN DAVID BROWN (MD)	Hand Surgery, Orthopedic Surgery	CA
TRISTA GOETZ (OT)	Occupational Therapist In Private Practice	GA
TAMARA R CLANCY (MD)	-	FL
PABLO MANUEL DEJESUS (PHYSICIAN ASSISTANT)	Physician Assistant	FL
DR. SRIDHAR A RAO (MD)	Family Practice	FL
DR. PEDRO JOSE MORALES (MD)	Family Practice	FL
ARNOLD BANDOLON ALQUEZA (MD)	Hand Surgery, Orthopedic Surgery, Hand Surgery	MA
MR. NICHOLAS V BARONI (PA)	Physician Assistant	FL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify DR. JONATHAN M SULLIVAN (D.P.M.) with an NPI only?

You can start verification with NPI 1528387958 for DR. JONATHAN M SULLIVAN (D.P.M.), then check state licensing separately.

Is DR. JONATHAN M SULLIVAN (D.P.M.) still practicing?

DR. JONATHAN M SULLIVAN (D.P.M.) is currently listed as active in the public NPI registry.

What healthcare role does DR. JONATHAN M SULLIVAN (D.P.M.) hold?

Scheduling teams often label DR. JONATHAN M SULLIVAN (D.P.M.) under Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.

What address line appears for DR. JONATHAN M SULLIVAN (D.P.M.)?

DR. JONATHAN M SULLIVAN (D.P.M.)'s geographic hint is Sidney, Ohio in our summary view.

Why does DR. JONATHAN M SULLIVAN (D.P.M.) have multiple addresses?

5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.