Doctor profile · Federal record
Dr. Ryan Sullivan, DO
Anesthesiology Physician (CMS: Anesthesiology) · Student in an Organized Health Care Education/Training Program · Jackson, MI
- NPI 1447743232
- Accepts Medicare
- MIPS 81.2 / 100 · 2023
- 8 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
205 N East Ave
Jackson, MI 492011753
(517) 205-3964
fax (517) 205-7050 - Additional location
-
11141 Parkview Plaza Dr Ste 200
Fort Wayne, IN 468451714
(260) 425-6030
fax (260) 425-6028 - Mailing address
-
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 468451701
Credentials & registration
- NPI registered
- June 2018 — 8 yrs on file
- Profile last updated
- October 17, 2022
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State licenses (2)
- Indiana #02006712A · Michigan #510102407
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1447743232. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
69
Distinct HCPCS
3
Medicare allowed
$10,150
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 28 | 28 | $112 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 24 | 24 | $98 | |
00790 |
Anesthesia for other procedure on upper abdomen | 17 | 17 | $274 |
In context: peer comparison
Among 9 peers in this city , average services per provider: 26. This provider delivers 2.7× the peer median.Frequently asked questions
What is Dr. Ryan Sullivan's medical specialty?
Dr. Ryan Sullivan practices Anesthesiology Physician in Jackson, MI.
Where does Dr. Ryan Sullivan practice?
Dr. Ryan Sullivan practices at 205 N East Ave, Jackson, MI 492011753. Office phone: 5172053964.
What is Dr. Ryan Sullivan's NPI?
Dr. Ryan Sullivan's National Provider Identifier (NPI) is 1447743232, issued by NPPES.
Does Dr. Ryan Sullivan accept Medicare assignment?
Yes. Dr. Ryan Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ryan Sullivan commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for other procedure on upper abdomen (HCPCS 00790). Source: CMS Medicare Physician & Other Practitioners file.