BRIAN M. SULLIVAN PAC
NPI 1154400562
Physician Assistant - Surgical in Billings, MT

Active since November 04, 2006PECOS EnrolledAccepts Medicare Assignment
94.3/100
CMS Quality Rating
2702 8TH AVE N, BILLINGS, MT 59101(406) 238-2500 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian M. Sullivan Pac NPPES

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

BRIAN M. SULLIVAN PAC (NPI 1154400562) is an individual surgical provider in Billings, Montana, licensed in Montana (MED-PAC-LIC-209) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1154400562
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRIAN M. SULLIVANCredential: PAC
Location Address2702 8TH AVE NBillings, MT 59101-1107
Mailing AddressPo Box 35100Billings, MT 59107-5100 · (406) 238-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 4, 2006
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
NPI 1154400562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MT · MED-PAC-LIC-209
Also ListedPhysician AssistantTaxonomy 363A00000X · License 209 (MT)
2702 8TH AVE N, Billings, MT 59101

Other Identifiers 3

Other122978800WY · Mdcd Pin
Other0434146MT · Mdcd Pin
Other000092473MT · Bcbs Pin

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

Brian M. Sullivan Pac 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 ID7416097720
PECOS Enrollment IDI20091217000498
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 7

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.

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.
204 services118 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.
156 services139 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
58 services54 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.
51 services51 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
46 services45 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.
24 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Beartooth Billings Clinic

Critical Access Hospitals · Red Lodge, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271326
Location2525 N BroadwayRed Lodge, MT 59068 · Carbon County

Stillwater Billings Clinic

Critical Access Hospitals · Columbus, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271330
Location710 N 11th StColumbus, MT 59019 · Stillwater County
Emergency services

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.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier12 claims12 services$61.32 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier49 claims49 services$6.28 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 20

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

Physical Therapist
2702 8TH AVE N
BILLINGS, MT 59101
Physician Assistant
2702 8TH AVE N
BILLINGS, MT 59101
Physical Therapist
2702 8TH AVE N
BILLINGS, MT 59101
Orthopaedic Surgery
2702 8TH AVE N
BILLINGS, MT 59101
Physical Therapist
2702 8TH AVE N
BILLINGS, MT 59101
Physical Therapist
2702 8TH AVE N
BILLINGS, MT 59101
Physical Therapist
2702 8TH AVE N
BILLINGS, MT 59101
Orthopaedic Surgery
2702 8TH AVE N
BILLINGS, MT 59101

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 1154400562. It was assigned to this individual provider in the NPPES registry on November 4, 2006.

Where is Brian Sullivan located?

Brian Sullivan practices at 2702 8th Ave N, Billings, MT 59101. The listed phone number is (406) 238-2500.

What is Brian Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

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 Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan 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 Billings Clinic, St Vincent Healthcare, Beartooth Billings Clinic and Stillwater Billings Clinic.

When was this NPI record last updated?

The NPPES record for Brian Sullivan was last updated on December 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.