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DR. GERALD EDWARD SULLIVAN M.D.
NPI 1760683551
Internal Medicine in Milwaukee, WI

Active since May 30, 2007PECOS Enrolled
6040 W LISBON AVE, SUITE 200, MILWAUKEE, WI 53210(414) 447-9890(414) 447-9891 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2019, Feb 14, 2018 (2 updates tracked since 2018).

About Dr. Gerald Edward Sullivan M.d. NPPES

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

DR. GERALD EDWARD SULLIVAN M.D. (NPI 1760683551) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (37202) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1994).

NPPES Registry Identity

NPI1760683551
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GERALD EDWARD SULLIVANCredential: M.D.
Location Address6040 W LISBON AVE, SUITE 200Milwaukee, WI 53210-2116
Mailing Address1169 N 13th AveWest Bend, WI 53090-1701 · (262) 306-1997
Phone(414) 447-9890
Fax(414) 447-9891
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1994
Enumeration DateMay 30, 2007
Last NPPES UpdateAugust 12, 20192 updates tracked since enumeration
✔ NPI 1760683551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 37202
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 37202 (WI)
6040 W LISBON AVE, Milwaukee, WI 53210
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Other Identifiers 1

Medicaid32475500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gerald Edward Sullivan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123258001
PECOS Enrollment IDI20140310001640
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 8

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
199 services60 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.
100 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
23 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53210 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

ANTONIA SALLIS MS,SAC,DPI TEACHER
Counselor (Addiction (Substance Use Disorder))
6040 W LISBON AVE
MILWAUKEE, WI 53210
Milwaukee County (414) 364-0406
MS. ELIZABETH SUSAN PORT M.S.
Counselor (Professional)
6040 W LISBON AVE
MILWAUKEE, WI 53210
Milwaukee County (414) 447-9890
OUR DAILY BREAD COMMUNITY OUTREACH CENTER, INC
Case Management
6040 W LISBON AVE, SUITE 203
MILWAUKEE, WI 53210
Milwaukee County (414) 255-8595
COLLEEN RUNGE M.S.
Counselor (Mental Health)
6040 W LISBON AVE
MILWAUKEE, WI 53210
Milwaukee County (414) 442-1751
BARBARA A DENTON MA, ATR
Counselor (Mental Health)
6040 W LISBON AVE, SUITE 102
MILWAUKEE, WI 53210
Milwaukee County (414) 871-9111
REC ENTERPRISE LLC
Case Management
6040 W LISBON AVE, STE B6
MILWAUKEE, WI 53210
Milwaukee County (414) 488-2808
INSIGHT COUNSELING SERVICES INC
Community/Behavioral Health
6040 W LISBON AVE, SUITE 200
MILWAUKEE, WI 53210
Milwaukee County (414) 447-9890
MR. SCOTT LANG SAC-IT
Counselor (Addiction (Substance Use Disorder))
6040 W LISBON AVE, 102
MILWAUKEE, WI 53210
Milwaukee County (414) 454-6707

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 Gerald Sullivan's NPI number?

The NPI number for Gerald Sullivan is 1760683551. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Gerald Sullivan located?

Gerald Sullivan practices at 6040 W Lisbon Ave Suite 200, Milwaukee, WI 53210. The listed phone number is (414) 447-9890.

What is Gerald Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gerald Sullivan enrolled in Medicare?

Yes. Gerald Sullivan is registered in the Medicare PECOS enrollment system.

What insurance does Gerald Sullivan accept?

Health plans from Network Health list Gerald 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.

When was this NPI record last updated?

The NPPES record for Gerald Sullivan was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.