TIMOTHY M SULLIVAN MD
NPI 1760408967
Emergency Medicine in Charlotte, NC

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1900 RANDOLPH RD, STE 900, CHARLOTTE, NC 28207(704) 377-2424(704) 377-2687 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy M Sullivan Md NPPES

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

TIMOTHY M SULLIVAN MD (NPI 1760408967) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (9900691) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Catawba Valley Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1996).

NPPES Registry Identity

NPI1760408967
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTIMOTHY M SULLIVANCredential: MD
Location Address1900 RANDOLPH RD, STE 900Charlotte, NC 28207-1122
Mailing Address1900 Randolph Rd, Ste 900Charlotte, NC 28207-1122 · (704) 377-2424 · Fax (704) 377-2687
Fax(704) 377-2687
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1996
Enumeration DateJuly 14, 2006
Last NPPES UpdateJanuary 11, 2010
NPI 1760408967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NC · 9900691
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1900 RANDOLPH RD, Charlotte, NC 28207

Other Identifiers 4

Medicare UPING80359NC
Medicare PIN2278256CNC
MedicaidN00692SC
Medicaid891225HNC

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 M Sullivan Md 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 ID1153461413
PECOS Enrollment IDI20091216000627
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
256 services248 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
97 services95 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services64 patients

Hospital Affiliations CMS Care Compare

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

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Internal Medicine (Infectious Disease)
1900 RANDOLPH RD, SUITE 216
CHARLOTTE, NC 28207
Emergency Medicine
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1900 RANDOLPH RD, SUITE 1010
CHARLOTTE, NC 28207
Internal Medicine (Critical Care Medicine)
1900 RANDOLPH RD, SUITE 580
CHARLOTTE, NC 28207
Psychiatry & Neurology (Neurology)
1900 RANDOLPH RD, SUITE 1010
CHARLOTTE, NC 28207
Social Worker (Clinical)
1900 RANDOLPH RD, SUITE 800
CHARLOTTE, NC 28207
Emergency Medicine
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Emergency Medicine (Pediatric Emergency Medicine)
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207

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 1760408967. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Timothy Sullivan located?

Timothy Sullivan practices at 1900 Randolph Rd Ste 900, Charlotte, NC 28207. The listed phone number is (704) 377-2424.

What is Timothy Sullivan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

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 Oscar Health Plan of North Carolina, Inc 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 Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Sullivan was last updated on January 11, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.