JOSEPH C SULLIVAN III M.D.
NPI 1043303548
Radiology - Diagnostic Radiology in Brooksville, FL

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
76.98/100
CMS Quality Rating
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613(904) 236-5884(904) 346-4334 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2023, Nov 22, 2016 (2 updates tracked since 2016).

About Joseph C Sullivan Iii M.d. NPPES

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

JOSEPH C SULLIVAN III M.D. (NPI 1043303548) is an individual diagnostic radiology provider in Brooksville, Florida, licensed in Florida (ME160669) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1043303548
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOSEPH C SULLIVAN IIICredential: M.D.
Location Address11375 CORTEZ BLVDBrooksville, FL 34613-5409
Mailing AddressPo Box 116700Atlanta, GA 30368-6700 · (904) 236-5884 · Fax (904) 346-4334
Fax(904) 346-4334
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
NPI 1043303548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in FL · ME160669 Licensed in TN · 54994 Licensed in AL · 24871
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 052837 (GA)
11375 CORTEZ BLVD, Brooksville, FL 34613

Other Identifiers 11

Medicaid04923068MS
Other051543136AL · Bcbs
Other051543144AL · Bcbs
Medicaid009942662AL
Medicaid009942659AL
Medicaid199147922AGA
Medicaid009942658AL
Medicaid009942660AL
Other051543137AL · Bcbs
Other051543142AL · Bcbs
OtherP00406959AL · Rr Medicare

Accepted 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

Joseph C 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 ID9436135910
PECOS Enrollment IDI20070728000032
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 22

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.

Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
217 services217 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
189 services181 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
107 services107 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
75 services75 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
71 services70 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
71 services71 patients

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100359
Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34613 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

76.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.91
Improvement Activities40

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.

Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Nurse Practitioner (Family)
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Anesthesiology
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
General Acute Care Hospital
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Pathology (Anatomic Pathology & Clinical Pathology)
11375 CORTEZ BLVD, OAK HILL HOSPITAL
BROOKSVILLE, FL 34613
Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613

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 Joseph Sullivan's NPI number?

The NPI number for Joseph Sullivan is 1043303548. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Joseph Sullivan located?

Joseph Sullivan practices at 11375 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (904) 236-5884.

What is Joseph Sullivan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Joseph Sullivan enrolled in Medicare?

Yes. Joseph 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.

What insurance does Joseph Sullivan accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas, Health Advantage and Octave list Joseph 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.

Is Joseph Sullivan affiliated with any hospitals?

According to CMS data, Joseph Sullivan is affiliated with Sarasota Memorial Hospital and Sarasota Memorial Hospital - Venice.

When was this NPI record last updated?

The NPPES record for Joseph Sullivan was last updated on March 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.