JOSEPH R SULLIVAN D.O.
NPI 1295022903
Surgery in St Francis, WI
About Joseph R Sullivan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEPH R SULLIVAN D.O. (NPI 1295022903) is an individual surgery provider in St Francis, Wisconsin, licensed in Wisconsin (65368-21) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital And Health Care Center, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Joseph R Sullivan D.o. 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.
Medicare Billing Reassignments
9Medicare enrollment records show Joseph Sullivan reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Watertown, WI 53098
- Reassigned Medicare billing, Wisconsin enrollment
- 215 clinicians in this Medicare group
Portage, WI 53901
- Reassigned Medicare billing, Wisconsin enrollment
- 359 clinicians in this Medicare group
Adams, WI 53910
- Reassigned Medicare billing, Wisconsin enrollment
- 397 clinicians in this Medicare group
Iola, WI 54945
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 619 clinicians in this Medicare group
Birnamwood, WI 54414
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1639187412 (Wisconsin)
- 321 clinicians in this Medicare group
Athens, WI 54411
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Linton, IN 47441
- Reassigned Medicare billing, Indiana enrollment
- 264 clinicians in this Medicare group
Montgomery, IN 47558
- Reassigned Medicare billing, Indiana enrollment
- 172 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital And Health Care Center
Acute Care Hospitals · Jasper, INAspirus Stevens Point Hospital & Clinics, Inc.
Acute Care Hospitals · Stevens Point, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ST FRANCIS, WI 53235
SAINT FRANCIS, WI 53235
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 Joseph Sullivan's NPI number?
The NPI number for Joseph Sullivan is 1295022903. It was assigned to this individual provider in the NPPES registry on July 1, 2011.
Where is Joseph Sullivan located?
Joseph Sullivan practices at 2000 E Layton Ave, St Francis, WI 53235. The listed phone number is (414) 744-6589.
What is Joseph Sullivan's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Joseph Sullivan enrolled in Medicare?
Yes. Joseph 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.
Which organizations bill Medicare for Joseph Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Sullivan reassigns Medicare benefits to 9 organizations: Watertown Physician Practices LLC (Watertown, WI), Divine Savior Healthcare, Inc. (Portage, WI), Aspirus Riverview Hospital & Clinics, Inc. (Adams, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joseph Sullivan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Aspirus Health Plan and 10 other insurers list Joseph 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 Joseph Sullivan affiliated with any hospitals?
According to CMS data, Joseph Sullivan is affiliated with Memorial Hospital And Health Care Center and Aspirus Stevens Point Hospital & Clinics, Inc..
When was this NPI record last updated?
The NPPES record for Joseph Sullivan was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Joseph R Sullivan, D.O. · NPI 1295022903
Surgery physician in St Francis, Wisconsin. Individual provider, active in the CMS NPPES registry since July 1, 2011.
## Identity
- **NPI:** 1295022903 (Entity type: Individual)
- **Enumerated:** July 1, 2011
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 65368-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 E LAYTON AVE, St Francis, WI 53235-6053
- **Phone:** (414) 744-6589
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Watertown Physician Practices LLC (NPI 1225412265, Watertown, WI); Divine Savior Healthcare, Inc. (NPI 1124083894, Portage, WI); Aspirus Riverview Hospital & Clinics, Inc. (NPI 1114411287, Adams, WI); Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1578232849, Iola, WI); Aspirus Stevens Point Hospital & Clinics, Inc. (NPI 1184082745, Stevens Point, WI); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lincoln Mem Univ, Debusk Col Of Osteopathic Med, class of 2011
## Record status
- **NPPES last updated:** February 6, 2024
- **Other identifiers:** Medicaid 100058377 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1295022903) · Data from the CMS NPPES public registry.