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DR. WILLIAM BRUNS SULLIVAN
NPI 1033177894
Specialist in Hattiesburg, MS

Active since May 02, 2006PECOS Enrolled
78.03/100
CMS Quality Rating
109 MILLSAPS DR, SUITE C, HATTIESBURG, MS 39402(601) 268-5051(601) 268-5054 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. William Bruns Sullivan NPPES

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

DR. WILLIAM BRUNS SULLIVAN (NPI 1033177894) is an individual specialist in Hattiesburg, Mississippi, licensed in Mississippi (12999) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1987).

NPPES Registry Identity

NPI1033177894
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. WILLIAM BRUNS SULLIVAN
Location Address109 MILLSAPS DR, SUITE CHattiesburg, MS 39402-1348
Mailing Address109 Millsaps Dr, Suite CHattiesburg, MS 39402-1587 · (601) 268-5051 · Fax (601) 268-5054
Phone(601) 268-5051
Fax(601) 268-5054
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1987
Enumeration DateMay 2, 2006
Last NPPES UpdateMay 8, 2013
✔ NPI 1033177894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 12999
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
109 MILLSAPS DR, Hattiesburg, MS 39402
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Other Identifiers 2

Medicare UPINB07446MS
Medicaid00118398MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Bruns Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850558537
PECOS Enrollment IDI20120208000268
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
14 services12 patients

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.

78.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.07
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. WRIGHT B LAUTEN MD
Ophthalmology (Retina Specialist)
109 MILLSAPS DR, SUITE B
HATTIESBURG, MS 39402
Lamar County (601) 255-0736
DR. ARTHUR NICK FOKAKIS M.D.
Specialist
109 MILLSAPS DR, SUITE C
HATTIESBURG, MS 39402
Lamar County (601) 268-5051
COLE MCKEE RICHARDSON DO
Ophthalmology
109 MILLSAPS DR
HATTIESBURG, MS 39402
Lamar County (601) 818-2957
DR. JOHN CAREY FITZPATRICK MD
Ophthalmology
109 MILLSAPS DR
HATTIESBURG, MS 39402
Lamar County (601) 255-0736

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 William Sullivan's NPI number?

The NPI number for William Sullivan is 1033177894. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is William Sullivan located?

William Sullivan practices at 109 Millsaps Dr Suite C, Hattiesburg, MS 39402. The listed phone number is (601) 268-5051.

What is William Sullivan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is William Sullivan enrolled in Medicare?

Yes. William Sullivan is registered in the Medicare PECOS enrollment system.

What insurance does William Sullivan accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare and Oscar Health Plan, Inc. list William Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Sullivan was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.