TIMOTHY ERIC SULLIVAN JR. PA-C
NPI 1295012060
Physician Assistant - Medical in Lancaster, PA

Active since November 08, 2011PECOS EnrolledAccepts Medicare Assignment
90.99/100
CMS Quality Rating
2160 STATE RD, LANCASTER, PA 17601(223) 287-8155(717) 312-3143 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 26, 2026, Jun 30, 2025, Nov 22, 2024 and 3 more (6 updates tracked since 2019).

About Timothy Eric Sullivan Jr. Pa-c NPPES

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

TIMOTHY ERIC SULLIVAN JR. PA-C (NPI 1295012060) is an individual medical provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MA056911) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295012060
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTIMOTHY ERIC SULLIVAN JR.Credential: PA-C
Location Address2160 STATE RDLancaster, PA 17601-1812
Mailing Address307 Lakeside XingMount Joy, PA 17552-9061 · (717) 598-8531
Fax(717) 312-3143
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 8, 2011
Last NPPES UpdateMay 26, 20266 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1295012060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in PA · MA056911 Licensed in NJ · 25MP00271500
2160 STATE RD, Lancaster, PA 17601

Secondary Practice Locations 2

Location 12221 Noll DrLancaster, PA 17603-7614 · Phone (717) 531-3828 · Fax (717) 531-0793
Location 2106 S Claude A Lord BlvdPottsville, PA 17901-3639 · Phone (570) 728-2424 · Fax (570) 728-2425

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

Timothy Eric Sullivan Jr. 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 ID1254658461
PECOS Enrollment IDI20150327001752
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 3

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 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.
93 services75 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.
75 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

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.

90.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.95
Promoting Interoperability100
Improvement Activities40
Cost77.03

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
2160 STATE RD
LANCASTER, PA 17601
Internal Medicine (Pulmonary Disease)
2160 STATE RD
LANCASTER, PA 17601
Clinical Nurse Specialist
2160 STATE RD
LANCASTER, PA 17601
General Acute Care Hospital
2160 STATE RD
LANCASTER, PA 17601
Nurse Practitioner (Acute Care)
2160 STATE RD
LANCASTER, PA 17601
Nurse Practitioner (Acute Care)
2160 STATE RD
LANCASTER, PA 17601
Clinical Nurse Specialist
2160 STATE RD
LANCASTER, PA 17601
Internal Medicine
2160 STATE RD
LANCASTER, PA 17601

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 Timothy Sullivan's NPI number?

The NPI number for Timothy Sullivan is 1295012060. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Where is Timothy Sullivan located?

Timothy Sullivan practices at 2160 State Rd, Lancaster, PA 17601. The listed phone number is (223) 287-8155.

What is Timothy Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Timothy Sullivan enrolled in Medicare?

Yes. Timothy 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 Timothy Sullivan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Timothy 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 Timothy Sullivan affiliated with any hospitals?

According to CMS data, Timothy Sullivan is affiliated with Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Sullivan was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.