DR. JONATHAN M SULLIVAN D.P.M.
NPI 1528387958
Podiatrist - Foot & Ankle Surgery in Palm Coast, FL

Active since May 25, 2010PECOS EnrolledAccepts Medicare Assignment
11 FLORIDA PARK DR N, PALM COAST, FL 32137(386) 445-4734 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 31, 2021, Feb 9, 2021 (2 updates tracked since 2021).

About Dr. Jonathan M Sullivan D.p.m. NPPES

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

DR. JONATHAN M SULLIVAN D.P.M. (NPI 1528387958) is an individual foot & ankle surgery provider in Palm Coast, Florida, licensed in Ohio (36003666) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Flagler, and maintains a secondary practice location in Sidney.

NPPES Registry Identity

NPI1528387958
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JONATHAN M SULLIVANCredential: D.P.M.
Location Address11 FLORIDA PARK DR NPalm Coast, FL 32137-3866
Mailing Address1890 Lpga Blvd Ste 230Daytona Beach, FL 32117-7131 · (386) 274-3336 · Fax (386) 274-3660
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2010
Enumeration DateMay 25, 2010
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1528387958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in OH · 36003666
11 FLORIDA PARK DR N, Palm Coast, FL 32137

Secondary Practice Location 1

Location 11000 Michigan StSidney, OH 45365-2404 · Phone (937) 492-1211 · Fax (937) 492-6557

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

Dr. Jonathan M Sullivan D.p.m. 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 ID6901047125
PECOS Enrollment IDI20210211000267
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 21

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
715 services251 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.
597 services307 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
494 services158 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
403 services119 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
392 services116 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
273 services215 patients

Hospital Affiliations CMS Care Compare

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

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 4

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers21 claims42 services$61.35 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers18 claims108 services$25.02 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier44 claims552 services$8.20 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier14 claims14 services$213.03 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 4

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

Podiatrist (Foot & Ankle Surgery)
11 FLORIDA PARK DR N
PALM COAST, FL 32137
Podiatrist (Foot & Ankle Surgery)
11 FLORIDA PARK DR N
PALM COAST, FL 32137
Clinic/Center
11 FLORIDA PARK DR N
PALM COAST, FL 32137
Podiatrist (Foot Surgery)
11 FLORIDA PARK DR N
PALM COAST, FL 32137

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 Jonathan Sullivan's NPI number?

The NPI number for Jonathan Sullivan is 1528387958. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Jonathan Sullivan located?

Jonathan Sullivan practices at 11 Florida Park Dr N, Palm Coast, FL 32137. The listed phone number is (386) 445-4734.

What is Jonathan Sullivan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jonathan Sullivan enrolled in Medicare?

Yes. Jonathan 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 Jonathan Sullivan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Health Care Plans and Molina Healthcare and 2 other insurers list Jonathan 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 Jonathan Sullivan affiliated with any hospitals?

According to CMS data, Jonathan Sullivan is affiliated with Florida Hospital Flagler.

When was this NPI record last updated?

The NPPES record for Jonathan Sullivan was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.