Doctor profile · Federal record
Dr. Clemence Sullivan, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Pediatrics Physician · Saint Louis Park, MN
- NPI 1225354681
- Accepts Medicare
- 16 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5100 Gamble Dr Ste 100, Mail Stop 31200A
Saint Louis Park, MN 554161582
(952) 541-2500
fax (952) 595-6455 - Mailing address
-
Po Box 1309 - 8170 33Rd Ave S, MS 21110Q
Minneapolis, MN 554254516
Credentials & registration
- NPI registered
- April 2010 — 16 yrs on file
- Profile last updated
- November 18, 2014
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Minnesota #58690
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225354681. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
472
Distinct HCPCS
10
Medicare allowed
$32,106
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
36415 |
Insertion of needle into vein for collection of blood sample | 139 | 79 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 93 | 76 | $89 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 70 | 70 | $128 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 53 | 37 | $126 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 39 | 29 | $8 | |
G0008 |
Administration of influenza virus vaccine | 14 | 14 | $30 | |
90480 |
Admn sarscov2 vacc 1 dose | 13 | 13 | $40 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 13 | 13 | $24 | |
91320 |
Sarscv2 vac 30mcg trs-suc im | 13 | 13 | $128 | |
G0009 |
Administration of pneumococcal vaccine | 13 | 13 | $30 |
In context: peer comparison
Among 5 peers in Saint Louis Park Internal Medicine Physician, average services per provider: 56. This provider delivers 8.4× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,811
Patients
545
Total drug cost
$105,523
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 373 | 115 | $5,731 |
| Amlodipine Besylate | Generic | 195 | 64 | $1,689 |
| Levothyroxine Sodium | Generic | 195 | 48 | $4,181 |
| Lisinopril | Generic | 165 | 46 | $1,849 |
| Losartan Potassium | Generic | 148 | 46 | $2,384 |
| Hydrochlorothiazide | Generic | 119 | 36 | $705 |
| Metoprolol Succinate | Generic | 85 | 24 | $2,027 |
| Metformin Hcl ER (Metformin Hcl) | Brand | 82 | 26 | $1,337 |
| Trazodone Hcl | Generic | 80 | 23 | $1,306 |
| Omeprazole | Generic | 71 | 27 | $1,169 |
Frequently asked questions
What is Dr. Clemence Sullivan's medical specialty?
Dr. Clemence Sullivan practices Internal Medicine Physician in Saint Louis Park, MN.
Where does Dr. Clemence Sullivan practice?
Dr. Clemence Sullivan practices at 5100 Gamble Dr Ste 100, Saint Louis Park, MN 554161582. Office phone: 9525412500.
What is Dr. Clemence Sullivan's NPI?
Dr. Clemence Sullivan's National Provider Identifier (NPI) is 1225354681, issued by NPPES.
Does Dr. Clemence Sullivan accept Medicare assignment?
Yes. Dr. Clemence Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Clemence Sullivan commonly perform?
Top Medicare-reported procedures in 2023: Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.