CRAIG P SULLIVAN DPM
NPI 1700881182
Podiatrist - Primary Podiatric Medicine in Decorah, IA

Q: What is Craig Sullivan's NPI number?

The NPI number for Craig Sullivan is 1700881182. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Q: What is Craig Sullivan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Q: When was this NPI record last updated?

The NPPES record for Craig Sullivan was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment

1830 STATE HIGHWAY 9, DECORAH, IA 52101(563) 382-2931 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Craig P Sullivan Dpm NPPES

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

CRAIG P SULLIVAN DPM (NPI 1700881182) is an individual primary podiatric medicine provider in Decorah, Iowa, licensed in Iowa (468) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Winnmed, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1987).

NPPES Registry Identity

NPI1700881182

Entity TypeIndividualMale

Primary Taxonomy213EP1101X

Provider Legal NameCRAIG P SULLIVANCredential: DPM

Location Address1830 STATE HIGHWAY 9Decorah, IA 52101-7301

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(563) 382-2931

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1987

Enumeration DateJune 14, 2005

Last NPPES UpdateJune 4, 2015

✔ NPI 1700881182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213EP1101X

Licenses✔ Licensed in IA · 468✔ Licensed in WI · 628

1830 STATE HIGHWAY 9, Decorah, IA 52101

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Other Identifiers 4

Medicaid43212300WI

Medicare UPINT01479

Medicare PINI14445IA

Medicare PIN0002WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners 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

Craig P Sullivan Dpm 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 ID8426944331

PECOS Enrollment IDI20040831000611, I20051227000328

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 9

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.

335 services177 patients

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.

265 services103 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.

118 services118 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

113 services89 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.

92 services72 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

66 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Winnmed

Critical Access Hospitals · Decorah, IA

OwnershipGovernment - Local

CMS Certification Number161371

Location901 Montgomery StreetDecorah, IA 52101 · Winneshiek County

Emergency services

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520087

Location1910 South AveLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Crossing Rivers Health Medical Center

Critical Access Hospitals · Prairie Du Chien, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521330

Location37868 Us Hwy 18Prairie Du Chien, WI 53821 · Crawford County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims 3

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

1 supplier27 claims52 services$59.97 avg. paid by Medicare

For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513

DME-Orthotic Devices · category DF000N

1 supplier27 claims156 services$20.55 avg. paid by Medicare

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902

DME-Orthotic Devices · category DF003N

1 supplier11 claims12 services$25.20 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 20

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

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