BRIAN L SULLIVAN (M.D.) – Orthopaedic Surgery Physician, NPI 1053395079

BRIAN L SULLIVAN (M.D.) is a healthcare provider. based in Austin, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. E1946 (TX). The NPI Number for BRIAN L SULLIVAN (M.D.) is 1053395079

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN L SULLIVAN (M.D.)
NPI
1053395079
Phone
(512) 451-1969
Address
2500 W WILLIAM CANNON DR
Enumeration Date
2 December 2005
Last Update Date
25 October 2010

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
5123211098
Graduation Year
1973 (53 years ago)
PAC ID
4284787177
Group Practice PAC ID
2163579145
Professional Enrollment ID
I20090921000679
Address ID
TX786023937BA441XXWXXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,187 ORTHOPEDIC SURGERY in TX

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Provider Addresses for BRIAN L SULLIVAN (M.D.)

  • Moody Orthodontics, 2500, West William Cannon Drive, Cherry Meadows, Austin, Travis County, Texas, 78745, United States

    STE 401

    AUSTIN, TX 787455257

    Phone: (512) 451-1969

    Type: Location

  • PO BOX 52194

    DEPARTMENT 959

    PHOENIX, AZ 850722194

    Phone: (512) 451-1969

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $507.

Total Amount is formed as General ($507) + Research ($0) + Ownership ($0) = $507.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Linvatec Corporation ($127).

Total Amount

$507

General + Research + Ownership

Payments

13

Total payment records

General Amount

$507

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-09-21

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
I20090921000679IOrthopedic SurgeryTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg32023$0
99214Established patient office or other outpatient visit, 30-39 minutes12676$0
20610Aspiration and/or injection of fluid from large joint10157$0
99213Established patient office or other outpatient visit, 20-29 minutes6045$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 78745)

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Provider's Procedures

BRIAN L SULLIVAN (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYTX27447Repair of knee joint2121

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: 2163579145View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family Practice, General PracticeTX

Reviews

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Frequently asked questions

How is BRIAN L SULLIVAN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists BRIAN L SULLIVAN (M.D.) with NPI 1053395079.
Is BRIAN L SULLIVAN (M.D.) still practicing?
BRIAN L SULLIVAN (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does BRIAN L SULLIVAN (M.D.) hold?
Scheduling teams often label BRIAN L SULLIVAN (M.D.) under Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does BRIAN L SULLIVAN (M.D.) list a practice location?
Patients near Austin, Texas may find BRIAN L SULLIVAN (M.D.) in results; validate coverage separately.
Why does BRIAN L SULLIVAN (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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