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DR. TIMOTHY JOHN SULLIVAN III M.D.
NPI 1023012911
Allergy & Immunology - Allergy in Ogden, UT

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment
4403 HARRISON BLVD., STE 4640, OGDEN, UT 84403(801) 387-4850(801) 387-4855 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Timothy John Sullivan Iii M.d. NPPES

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

DR. TIMOTHY JOHN SULLIVAN III M.D. (NPI 1023012911) is an individual allergy provider in Ogden, Utah, licensed in Utah (8263858-1205) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1966).

NPPES Registry Identity

NPI1023012911
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameDR. TIMOTHY JOHN SULLIVAN IIICredential: M.D.
Location Address4403 HARRISON BLVD., STE 4640Ogden, UT 84403-3304
Mailing Address4403 Harrison Blvd., Ste 4640Ogden, UT 84403-3304 · (801) 387-4850 · Fax (801) 387-4855
Phone(801) 387-4850
Fax(801) 387-4855
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1966
Enumeration DateJune 8, 2005
Last NPPES UpdateJune 3, 2015
✔ NPI 1023012911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
Licenses✔ Licensed in UT · 8263858-1205✔ Licensed in GA · 037913
Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

4403 HARRISON BLVD., Ogden, UT 84403
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Other Identifiers 5

Medicaid00570996CGA
Medicare PIN03BDBQSGA
Medicare PIN03BDBRLGA
Medicaid00570996FGA
Medicare UPIND97768

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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

Dr. Timothy John Sullivan Iii M.d. 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 ID7214052802
PECOS Enrollment IDI20130320000742
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
2,215 services36 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
545 services48 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
254 services151 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
235 services17 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
222 services130 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
174 services15 patients

Hospital Affiliations CMS Care Compare

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier12 claims24 services$18.25 avg. paid by Medicare
Injection, immune globulin (cuvitru), 100 mg J1555
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers12 claims3,360 services$11.72 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers21 claims6,900 services$9.48 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
3 suppliers24 claims96 services$2.37 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 3

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

BRYSON S. SMITH M.D.
Neurological Surgery
4403 HARRISON BLVD., SUITE 1815
OGDEN, UT 84403
Weber County (801) 732-5930
DR. BRICE JASON WILLIAMS M.D., PH.D.
Ophthalmology
4403 HARRISON BLVD., SUITE 3600
OGDEN, UT 84403
Weber County (801) 387-3550
BRICE J. WILLIAMS, M.D., P.C.
Ophthalmology
4403 HARRISON BLVD., STE-3600
OGDEN, UT 84403
Weber County (801) 387-3550

Frequently Asked Questions

What is Timothy Sullivan's NPI number?

The NPI number assigned to this healthcare provider is 1023012911, enumerated as an "individual" on June 08, 2005.

Where is the provider located?

The provider is located at 4403 HARRISON BLVD. STE 4640 OGDEN, UT 84403 and the phone number is (801) 387-4850.

What is the provider's specialty?

Allergy & Immunology with taxonomy code 207KA0200X and a focus in Allergy.

What insurance does Timothy Sullivan accept?

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.

Is Timothy Sullivan affiliated with any hospitals?

Timothy Sullivan is affiliated with: MCKAY-DEE HOSPITAL.