Brian Sullivan, DPM
NPI 1265469209 · Foot & Ankle Surgery Podiatrist · Springfield, NJ
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brian Sullivan, DPM is a Foot & Ankle Surgery Podiatrist provider in Springfield, NJ (NPI 1265469209).
Provider details
- NPI number
- 1265469209
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 25MD00275100 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
937 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 545 | $99 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 142 | $64 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 90 | $145 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 71 | $122 |
| X-Ray of Foot, Minimum of 3 Views73630 | 51 | $38 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 26 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 18 | 13 |
| Ciclopirox | 16 | — |
| Mupirocin | 13 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$507 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2019-12-02
Frequently asked questions
- What is Brian Sullivan's NPI number?
- Brian Sullivan's National Provider Identifier (NPI) is 1265469209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Sullivan's specialty?
- Brian Sullivan is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Brian Sullivan located?
- Brian Sullivan's practice location on file with NPPES is 100 Morris Ave, Springfield, NJ 07081-1427.
- What is Brian Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Brian Sullivan is (973) 258-0111.
- Does Brian Sullivan accept Medicare?
- Brian Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brian Sullivan's NPI active?
- Yes — Brian Sullivan's NPI (1265469209) is active in the NPPES registry as of the last update on 2019-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.