EUGENE DENIS SULLIVAN PA-C
NPI 1245208883
Physician Assistant in Clarkston, MI

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
5701 BOW POINTE DR, SUITE 100, CLARKSTON, MI 48346(248) 625-2621(248) 625-8938 Get Directions Write a Review

NPPES record last updated: March 29, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eugene Denis Sullivan Pa-c NPPES

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

EUGENE DENIS SULLIVAN PA-C (NPI 1245208883) is an individual physician assistant in Clarkston, Michigan, licensed in Michigan (5601003867) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1245208883
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEUGENE DENIS SULLIVANCredential: PA-C
Location Address5701 BOW POINTE DR, SUITE 100Clarkston, MI 48346-3198
Mailing Address5701 Bow Pointe Dr, Suite 100Clarkston, MI 48346-3198 · (248) 625-2621 · Fax (248) 625-8938
Fax(248) 625-8938
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 9, 2006
Last NPPES UpdateMarch 29, 2010
NPI 1245208883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601003867
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5701 BOW POINTE DR, Clarkston, MI 48346

Other Identifiers 6

Medicare UPINP83095MI
Medicare ID-Type UnspecifiedN86630022MI · Pec Okw
Medicare PINP40010024
Medicare ID-Type UnspecifiedN87450007MI · Okw Sjmm
Medicare ID-Type UnspecifiedQ24594206MI · Mhp Okw-sjmm
Medicare PINP40540025

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

Eugene Denis Sullivan Pa-c 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 ID9739186958
PECOS Enrollment IDI20061101000383
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 2

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 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.
49 services46 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Holland Community Hospital

Acute Care Hospitals · Holland, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230072
Location602 Michigan AveHolland, MI 49423 · Ottawa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

Emergency Medicine
5701 BOW POINTE DR, SUITE 100
CLARKSTON, MI 48346
Emergency Medicine
5701 BOW POINTE DR, SUITE 100
CLARKSTON, MI 48346
Orthopaedic Surgery
5701 BOW POINTE DR, STE 300
CLARKSTON, MI 48346
Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Dermatology
5701 BOW POINTE DR, SUITE 215
CLARKSTON, MI 48346
Physician Assistant
5701 BOW POINTE DR, SUITE 100
CLARKSTON, MI 48346

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 Eugene Sullivan's NPI number?

The NPI number for Eugene Sullivan is 1245208883. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Eugene Sullivan located?

Eugene Sullivan practices at 5701 Bow Pointe Dr Suite 100, Clarkston, MI 48346. The listed phone number is (248) 625-2621.

What is Eugene Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Eugene Sullivan enrolled in Medicare?

Yes. Eugene 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 Eugene Sullivan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Eugene 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 Eugene Sullivan affiliated with any hospitals?

According to CMS data, Eugene Sullivan is affiliated with Holland Community Hospital.

When was this NPI record last updated?

The NPPES record for Eugene Sullivan was last updated on March 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.