DR. BRIAN MICHAEL SULLIVAN MD
NPI 1972761252
Family Medicine in Baker, MT

Q: What is Brian Sullivan's NPI number?

The NPI number for Brian Sullivan is 1972761252. It was assigned to this individual provider in the NPPES registry on May 23, 2008.

Q: What is Brian Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brian Sullivan was last updated on January 25, 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.

Active since May 23, 2008PECOS EnrolledAccepts Medicare Assignment

202 S 4TH ST W, BAKER, MT 59313(406) 778-2833(406) 778-5355 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2021, Feb 22, 2017 (2 updates tracked since 2017).

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About Dr. Brian Michael Sullivan Md NPPES

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

DR. BRIAN MICHAEL SULLIVAN MD (NPI 1972761252) is an individual family medicine provider in Baker, Montana, licensed in Montana (49845) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Fallon Medical Complex Hospital, and maintains a secondary practice location in Box Elder.

NPPES Registry Identity

NPI1972761252

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BRIAN MICHAEL SULLIVANCredential: MD

Location Address202 S 4TH ST WBaker, MT 59313-9156

Mailing Address514 Americas Way, Apt 6347Box Elder, SD 57719-7600 · (949) 444-6695

Phone(406) 778-2833

Fax(406) 778-5355

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2007

Enumeration DateMay 23, 2008

Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2021

✔ NPI 1972761252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MT · 49845

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.

202 S 4TH ST W, Baker, MT 59313

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Secondary Practice Location 1

Location 1514 Americas Way, Apt 6347Box Elder, SD 57719-7600 · Phone (949) 444-6695

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Medica, Mountain Health CO-OP 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

Dr. Brian Michael 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 ID2062538127

PECOS Enrollment IDI20160804002622

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services13 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services17 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

18 services17 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.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Fallon Medical Complex Hospital

Critical Access Hospitals · Baker, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271301

Location202 S 4th St WBaker, MT 59313 · Fallon County

Emergency services

Holy Rosary Healthcare

Critical Access Hospitals · Miles City, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271347

Location2600 Wilson StMiles City, MT 59301 · Custer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59313 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers16 claims26 services$4.59 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

2 suppliers11 claims220 services$2.61 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers61 claims66 services$18.69 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers12 claims12 services$36.49 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers102 claims109 services$109.62 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers31 claims37 services$37.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

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

MIKENNA MARIE O'DONNELL OTR/L

Occupational Therapist