Doctor profile · Federal record
Dr. Mark Sullivan
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Jackson, MS
- NPI 1134752371
- Accepts Medicare
- MIPS 67.1 / 100 · 2023
- 7 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2500 N State St
Jackson, MS 392164500
(601) 984-1000 - Mailing address
-
147 Belle Pointe
Madison, MS 391108287
Credentials & registration
- NPI registered
- February 2020 — 6 yrs on file
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Mississippi #901618
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134752371. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
63
Distinct HCPCS
3
Medicare allowed
$7,134
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
01940 |
Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 26 | 26 | $104 | |
01942 |
Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance | 25 | 22 | $140 | |
01991 |
Anesthesia for nerve block and injection | 12 | 11 | $78 |
In context: peer comparison
Among 44 peers in this city , average services per provider: 32. This provider delivers 2.0× the peer median.Open Payments
Industry payments received
All-time total
$21
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $21.01 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Mark Sullivan's medical specialty?
Dr. Mark Sullivan practices Certified Registered Nurse Anesthetist in Jackson, MS.
Where does Dr. Mark Sullivan practice?
Dr. Mark Sullivan practices at 2500 N State St, Jackson, MS 392164500. Office phone: 6019841000.
What is Dr. Mark Sullivan's NPI?
Dr. Mark Sullivan's National Provider Identifier (NPI) is 1134752371, issued by NPPES.
Does Dr. Mark Sullivan accept Medicare assignment?
Yes. Dr. Mark Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Sullivan commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS 01940); Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance (HCPCS 01942); Anesthesia for nerve block and injection (HCPCS 01991). Source: CMS Medicare Physician & Other Practitioners file.