DR. KERRY SULLIVAN D.O.
NPI 1093717548
Radiology - Diagnostic Radiology in Eden Prairie, MN

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since August 15, 2005PECOS Enrolled

11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344(952) 595-1301(612) 294-4903 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Physician Visit Costs
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Radiology
Diagnostic Radiology
PECOS Enrolled

About KERRY SULLIVAN

This page provides the complete NPI Profile along with additional information for Kerry Sullivan, a provider established in Eden Prairie, Minnesota with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1093717548 assigned on August 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 34003443 (OH). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI: 1093717548 Verify this NPI
Provider Name: DR. KERRY SULLIVAN D.O.
Gender: Male
Entity Type: Individual
Location Address: 11995 SINGLETREE LN STE 500 EDEN PRAIRIE, MN 55344
Location Phone: (952) 595-1301
Location Fax: (612) 294-4903
Mailing Address: 11995 SINGLETREE LN STE 500 EDEN PRAIRIE, MN 55344
Mailing Phone: (952) 595-1301
Mailing Fax: (612) 294-4903
Is Sole Proprietor?: No
Enumeration Date: 08-15-2005
Last Update Date: 02-04-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Radiology Diagnostic Radiology
Taxonomy Code: 2085R0202X
Type: Allopathic & Osteopathic Physicians
License No.: 34003443
License State: OH
Taxonomy Description: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Medicare Participation & PECOS Enrollment Status

Kerry Sullivan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55344 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $85.82
Minimum New Patient Price $56
Maximum New Patient Price $168.28

Average New Patient Copayment $21.45
Minimum New Patient Copayment $14
Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $69.74
Minimum Established Patient Price $18.32
Maximum Established Patient Price $138.04

Average Established Patient Copayment $17.43
Minimum Established Patient Copayment $4.58
Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.