MR. THOMAS ANDREW SULLIVAN (MD) – Orthopaedic Surgery Physician, NPI 1114004181
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
628 ORTHOPEDIC SURGERY in WI
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Provider Addresses for MR. THOMAS ANDREW SULLIVAN (MD)
2223, Lime Kiln Road, Center Haverhill, Haverhill, Grafton County, New Hampshire, 03774, United States
SUITE 1
GREEN BAY, WI 543116213
Phone: (920) 430-8120
Fax: (920) 430-8122
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 6 Open Payments records for all available years, with a total value of $508.
Total Amount is formed as General ($508) + Research ($0) + Ownership ($0) = $508.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($244).
Total Amount
$508
General + Research + Ownership
Payments
6
Total payment records
General Amount
$508
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
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $244 |
| DePuy Synthes Sales Inc. | $141 |
| True North Surgical Inc | $105 |
| Stryker Corporation | $18 |
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: 2008-03-19
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 |
|---|---|---|---|---|
| I20080319000039 | I | Orthopedic Surgery | WI | 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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,059 | 18 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 568 | 76 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 178 | 129 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 130 | 88 | $0 |
| 73564 | X-ray of knee, 4 or more views | 56 | 50 | $0 |
Insurance plans in this area (ZIP 54311)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | WI | 27447 | Repair of knee joint | 53 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | WI | |
| Orthopedic Surgery | WI | |
| Orthopedic Surgery | WI | |
| Pain Management | MN | |
| Orthopedic Surgery | WI | |
| Nurse Practitioner | WI | |
| N E U R O S U R G E R Y | WI | |
| Orthopedic Surgery | PA | |
| R H E U M A T O L O G Y | WI | |
| Hand Surgery | WI |
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