DANIEL SULLIVAN
NPI 1013327576
Internal Medicine in Pittsburgh, PA

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3459 5TH AVE, UPMC MONTEFIORE NW628, PITTSBURGH, PA 15213(412) 692-2213 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2021, Mar 3, 2020 (2 updates tracked since 2020).

About Daniel Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL SULLIVAN (NPI 1013327576) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD465152) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of University Of Alabama School Of Medicine (2014).

NPPES Registry Identity

NPI1013327576
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDANIEL SULLIVAN
Location Address3459 5TH AVE, UPMC MONTEFIORE NW628Pittsburgh, PA 15213-3236
Mailing Address3459 5th Ave, Upmc Montefiore Nw628Pittsburgh, PA 15213-3236
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2014
Enumeration DateMay 5, 2014
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMarch 3, 2020
NPI 1013327576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD465152
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3459 5TH AVE, Pittsburgh, PA 15213

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniel Sullivan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082978168
PECOS Enrollment IDI20200429001860
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims29 services$79.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL, ALZHEIMER RESEARCH CENTER
PITTSBURGH, PA 15213
Physical Medicine & Rehabilitation
3459 5TH AVE
PITTSBURGH, PA 15213
Dietitian, Registered
3459 5TH AVE
PITTSBURGH, PA 15213
Nurse Practitioner (Family)
3459 5TH AVE, NW 628
PITTSBURGH, PA 15213
Physician Assistant
3459 5TH AVE, 2ND FLOOR RADIOLOGY
PITTSBURGH, PA 15213
Clinical Nurse Specialist (Acute Care)
3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL
PITTSBURGH, PA 15213
Specialist
3459 5TH AVE, N725
PITTSBURGH, PA 15213
Specialist
3459 5TH AVE, MUH 9 SOUTH
PITTSBURGH, PA 15213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Sullivan's NPI number?

The NPI number for Daniel Sullivan is 1013327576. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Daniel Sullivan located?

Daniel Sullivan practices at 3459 5th Ave Upmc Montefiore Nw628, Pittsburgh, PA 15213. The listed phone number is (412) 692-2213.

What is Daniel Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daniel Sullivan enrolled in Medicare?

Yes. Daniel Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Daniel Sullivan affiliated with any hospitals?

According to CMS data, Daniel Sullivan is affiliated with Upmc Mercy, Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for Daniel Sullivan was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.