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BRIAN L SULLIVAN M.D.
NPI 1053395079
Orthopaedic Surgery in Austin, TX

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
2500 W WILLIAM CANNON DR, STE 401, AUSTIN, TX 78745(512) 451-1969 Get Directions Write a Review

NPPES record last updated: October 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian L Sullivan M.d. NPPES

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

BRIAN L SULLIVAN M.D. (NPI 1053395079) is an individual orthopaedic surgery provider in Austin, Texas, licensed in Texas (E1946) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Hays, and is a graduate of Baylor College Of Medicine (1973).

NPPES Registry Identity

NPI1053395079
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBRIAN L SULLIVANCredential: M.D.
Location Address2500 W WILLIAM CANNON DR, STE 401Austin, TX 78745-5257
Mailing AddressPo Box 52194, Department 959Phoenix, AZ 85072-2194 · (512) 451-1969
Phone(512) 451-1969
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1973
Enumeration DateDecember 2, 2005
Last NPPES UpdateOctober 25, 2010
✔ NPI 1053395079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · E1946
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2500 W WILLIAM CANNON DR, Austin, TX 78745
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Other Identifiers 4

Medicare UPINC22400TX
Medicare PIN83J888TX
Medicaid132982303TX
Medicare PIN8L18598TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Moda Health Plan, Inc. 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

Brian L Sullivan 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 ID4284787177
PECOS Enrollment IDI20090921000679
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 5

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
841 services45 patients
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.
103 services69 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
99 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78745 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
21%2,302 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
72%714 patients1/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
33%446 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
35%655 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
15%1,104 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
10%1,014 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 46% · 477 patients
Patients tobacco: 14% · 28 patients
40%477 patients2/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
72%1,104 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%1,104 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
26%1,104 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SAMANTHA YORKE DPT
Physical Therapist
2500 W WILLIAM CANNON DR
AUSTIN, TX 78745
Travis County (512) 852-8434
DR. CYNTHIA SUE VAUGHN D.C.
Chiropractor
2500 W WILLIAM CANNON DR, SUITE 205
AUSTIN, TX 78745
Travis County (512) 445-3366
TOTAL SLEEP DIAGNOSTICS
Clinic/Center (Sleep Disorder Diagnostic)
2500 W WILLIAM CANNON DR, SUITE 302B
AUSTIN, TX 78745
Travis County (512) 284-9803
CENTRAL TEXAS PAIN INSTITUTE PLLC
Durable Medical Equipment & Medical Supplies
2500 W WILLIAM CANNON DR, SUITE 206
AUSTIN, TX 78745
Travis County (512) 485-7200
NICHOLAS F TSOURMAS M.D.
Orthopaedic Surgery
2500 W WILLIAM CANNON DR, STE 401
AUSTIN, TX 78745
Travis County (512) 451-1969
MRS. CAROLYN ANN SCHULTE PT
Physical Therapist
2500 W WILLIAM CANNON DR, SUITE 409
AUSTIN, TX 78745
Travis County (512) 852-8434
MRS. NICOLE ELIZABETH LENNON CNM
Midwife
2500 W WILLIAM CANNON DR, BLDG. 5 SUITE 503
AUSTIN, TX 78745
Travis County (512) 243-8066
GRANYON M PERRY-WOODEN LPC
Counselor (Professional)
2500 W WILLIAM CANNON DR
AUSTIN, TX 78745
Travis County (918) 949-7067

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 Brian Sullivan's NPI number?

The NPI number for Brian Sullivan is 1053395079. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Brian Sullivan located?

Brian Sullivan practices at 2500 W William Cannon Dr Ste 401, Austin, TX 78745. The listed phone number is (512) 451-1969.

What is Brian Sullivan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Brian Sullivan enrolled in Medicare?

Yes. Brian 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 Brian Sullivan accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Brian 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 Brian Sullivan affiliated with any hospitals?

According to CMS data, Brian Sullivan is affiliated with Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Brian Sullivan was last updated on October 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.