Dr. Joseph R Sullivan , DO
Surgery โข St Francis, WI
2000 E Layton Ave
St Francis, WI 532356053
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 1, 2011; this date does not establish years in practice.
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Published CMS data list 162 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99203 โ New patient outpatient office visit: 43 service units.
- 99222 โ Initial hospital care with straightforward or low-level medical decision making: 33 service units.
- 99213 โ Established patient outpatient office visit: 31 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 14 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Celecoxib โ 14 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Surgery in Wisconsin (2024, 357 clinicians with data). Median for this group: 125. Middle half: 60 to 231.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 99 in 2020 to 162 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
2000 E Layton Ave
St Francis, WI 532356053
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 3 distinct group names: Deaconess Memorial Medical Center Inc; Deaconess Specialty Physicians, Inc; Watertown Physician Practices Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Lincoln Mem Univ, Debusk Col Of Osteopathic Med
2011
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
152 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $14,546 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $10,988 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
14 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$97 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023.
Open Payments general payments, program year 2025
All general payments: $18,906.78 across 12 records.
By nature of payment
- Education: $18,000.00 across 5 records.
- Food and Beverage: $906.78 across 7 records.
Reporting-company totals
- INTUITIVE SURGICAL, INC.: $18,885.00 across 11 records.
- Medtronic, Inc.: $21.78 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2011
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Sullivan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Sullivan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in St Francis and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Surgery in Wisconsin (2024, 357 clinicians with data). Median for this group: 125. Middle half: 60 to 231.
Too few clinicians listed under Surgery in St Francis have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Surgery in Wisconsin (2024, 357 clinicians with data). Median for this group: $15,446. Middle half: $7,289 to $30,123.
Too few clinicians listed under Surgery in St Francis have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Surgery in Wisconsin (2024, 357 clinicians with data). Median for this group: $11,441. Middle half: $5,266 to $22,812.
Too few clinicians listed under Surgery in St Francis have Medicare Part B data for 2024 to compare.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Sullivan are from 2023.
1 active clinicians are listed under Surgery with a practice address in St Francis, WI (727 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 64% from 99 in 2020 to 162 in 2024.
- 2020: 99
- 2021: 98
- 2022: 85
- 2023: 35
- 2024: 162
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $13,907 in 2020 and $14,546 in 2024.
- 2020: $13,907
- 2021: $12,781
- 2022: $11,154
- 2023: $4,934
- 2024: $14,546
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Paid by Medicare
Paid by Medicare varied from year to year: $10,995 in 2020 and $10,988 in 2024.
- 2020: $10,995
- 2021: $10,189
- 2022: $8,944
- 2023: $3,816
- 2024: $10,988
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 52% from 29 in 2019 to 14 in 2023.
- 2019: 29
- 2020: 25
- 2021: 52
- 2022: 76
- 2023: 14
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30-day fills
30-day fills decreased 52% from 29 in 2019 to 14 in 2023.
- 2019: 29
- 2020: 25
- 2021: 52
- 2022: 76
- 2023: 14
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Part D drug cost
Part D drug cost went from $367 in 2019 to $97 in 2023.
- 2019: $367
- 2020: $194
- 2021: $232
- 2022: $311
- 2023: $97
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $77.56 in 2020 to $18,906.78 in 2025.
- 2020: $77.56
- 2021: $22.41
- 2022: $95.40
- 2023: $1,122.38
- 2025: $18,906.78
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 12 records totaling $18,906.78.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
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Da Vinci Surgical System | General | $4,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
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Da Vinci Surgical System | General | $4,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $4,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $4,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
Cash or cash equivalent
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Da Vinci Surgical System | General | $150.00 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
Cash or cash equivalent
|
Da Vinci Surgical System | General | $150.00 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
Cash or cash equivalent
|
Da Vinci Surgical System | General | $150.00 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
Cash or cash equivalent
|
Da Vinci Surgical System | General | $150.00 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
Cash or cash equivalent
|
Da Vinci Surgical System | General | $150.00 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $135.00 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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PROGRIP | General | $21.78 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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43 | 43 | $186.00 | $100.90 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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33 | 32 | $390.48 | $120.11 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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31 | 26 | $130.00 | $84.38 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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28 | 22 | $207.64 | $72.98 |
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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15 | 13 | $112.00 | $45.61 |
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99238
Hospital discharge day management, 30 minutes or less
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12 | 12 | $205.00 | $75.04 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Celecoxib | Celecoxib | 14 | 80 | $96.71 | 11 |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-02-06NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20231107000927
IN
4284923327
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Deaconess Memorial Medical Center Inc
800 W 9th St, Jasper, IN 475462514
Phone: 8129960188
Deaconess Specialty Physicians, Inc
721 W 13th St, Jasper, IN 475461855
Phone: 8129965671
Deaconess Memorial Medical Center Inc
721 W 13th St, Jasper, IN 475461817
Watertown Physician Practices Llc
123 Hospital Dr, Watertown, WI 530983320
Phone: 9202063042
Deaconess Memorial Medical Center Inc
303 N Meridian St, Holland, IN 475419656
Phone: 8125363943
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Nurse Prescriber
Nurse Practitioner
Nurse Practitioner
Internal Medicine - Geriatric Medicine
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated July 01, 2011.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Mailing Address
2000 E Layton Ave
St Francis, WI 532356053
Phone: 4147446589