DR. TIMOTHY JOHN III SULLIVAN (M.D.) – Allergy Physician, NPI 1023012911
Allergy Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
40 ALLERGY/IMMUNOLOGY in UT
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Provider Addresses for DR. TIMOTHY JOHN III SULLIVAN (M.D.)
Harrison Boulevard, Ogden, Weber County, Utah, 84403, United States
STE 4640
OGDEN, UT 844033304
Phone: (801) 387-4850
Fax: (801) 387-4855
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 90 Open Payments records for all available years, with a total value of $1,986.
Total Amount is formed as General ($1,986) + Research ($0) + Ownership ($0) = $1,986.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($632).
Total Amount
$1,986
General + Research + Ownership
Payments
90
Total payment records
General Amount
$1,986
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $632 |
| GENZYME CORPORATION | $193 |
| CSL Behring | $189 |
| GlaxoSmithKline, LLC. | $176 |
| Grifols USA, LLC | $93 |
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: 2013-03-20
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 |
|---|---|---|---|---|
| I20130320000742 | I | Allergy/Immunology | UT | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 2,284 | 32 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,056 | 21 | $0 |
| 95117 | Professional service for multiple injections of allergen | 596 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 255 | 148 | $0 |
| 94375 | Test to measure rate of airflow | 212 | 122 | $0 |
Insurance plans in this area (ZIP 84403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | UT | |
| A L L E R G Y/ I M M U N O L O G Y | UT |
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