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TIMOTHY WAYNE SULLINGER M.D.
NPI 1669410833
Family Medicine in Montrose, CO

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
154 COLORADO AVE, MONTROSE, CO 81401(970) 252-9165(970) 252-8874 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2025, Jan 4, 2023 (2 updates tracked since 2023).

About Timothy Wayne Sullinger M.d. NPPES

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

TIMOTHY WAYNE SULLINGER M.D. (NPI 1669410833) is an individual family medicine provider in Montrose, Colorado, licensed in Colorado (39301) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Clarinda Regional Health Center, and maintains a secondary practice location in Lincoln.

NPPES Registry Identity

NPI1669410833
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY WAYNE SULLINGERCredential: M.D.
Location Address154 COLORADO AVEMontrose, CO 81401-3651
Mailing Address154 Colorado AveMontrose, CO 81401-3651 · (970) 252-9165 · Fax (970) 252-8874
Phone(970) 252-9165
Fax(970) 252-8874
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 2, 2006
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1669410833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CO · 39301✔ Licensed in TN · 66433
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
154 COLORADO AVE, Montrose, CO 81401
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Secondary Practice Location 1

Location 15733 S 34th St Ste 500Lincoln, NE 68516-6632 · Phone (531) 350-6982

Other Identifiers 2

Other080180229CO · Railroad Medicare
Medicaid65084730CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 Wayne Sullinger M.d. 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 ID5395778971
PECOS Enrollment IDI20141126001784, I20200916001550, I20231025001120, I20240429002200
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 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
15 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Clarinda Regional Health Center

Critical Access Hospitals · Clarinda, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161352
Location220 Essie Davison DriveClarinda, IA 51632 · Page County
Emergency services

Beatrice Community Hospital & Health Center, Inc

Critical Access Hospitals · Beatrice, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281364
LocationP O Box 278, 4800 Hospital ParkwayBeatrice, NE 68310 · Gage County
Emergency services

Cody Regional Health

Critical Access Hospitals · Cody, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531312
Location707 Sheridan AvenueCody, WY 82414 · Park County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81401 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
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 3

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

JERILYNN HART RD
Dietitian, Registered
154 COLORADO AVE
MONTROSE, CO 81401
Montrose County (970) 249-7791
JOE C. STUCKY, DDS, PC
Dentist (General Practice)
154 COLORADO AVE, SUITE #201
MONTROSE, CO 81401
Montrose County (970) 249-1898
DR. JOE CHARLES STUCKY DDS
Dentist (General Practice)
154 COLORADO AVE, STE 201
MONTROSE, CO 81401
Montrose County (970) 249-1898

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 Sullinger's NPI number?

The NPI number for Timothy Sullinger is 1669410833. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Timothy Sullinger located?

Timothy Sullinger practices at 154 Colorado Ave, Montrose, CO 81401. The listed phone number is (970) 252-9165.

What is Timothy Sullinger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Sullinger enrolled in Medicare?

Yes. Timothy Sullinger 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 Sullinger accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 4 other insurers list Timothy Sullinger 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 Sullinger affiliated with any hospitals?

According to CMS data, Timothy Sullinger is affiliated with Clarinda Regional Health Center, Beatrice Community Hospital & Health Center, Inc and Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Timothy Sullinger was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.