David Ryan Sullivan


Address: 16411 Southpark Dr B, Westfield, IN 46074-8469

David Ryan Sullivan (NPI# 1972533933, PAC ID# 1456350545) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1972533933
PAC ID by PECOS 1456350545
Professional Enrollment ID I20080922000263
Full Name David Ryan Sullivan
Address 16411 Southpark Dr B
Westfield
IN 46074-8469
Gender M
Credential DPM
Medical School DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year 1999
Primary Specialty PODIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150109 FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE EAST

Other Locations

Address Phone Organization
1345 Unity Pl, Suite 225, Lafayette, IN 47905-5762 7654492436 UNITY HEALTHCARE LLC
16411 Southpark Dr B, Westfield, IN 46074-8469

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 100%
ACI_EC_TRANS_EP_1 e-Prescribing 100%
ACI_EC_TRANS_MR_1 Medication Reconciliation 63%
ACI_EC_TRANS_MR_1 Medication Reconciliation 63%
ACI_EC_TRANS_PEA_1 Provide Patient Access 52%
ACI_EC_TRANS_PEA_1 Provide Patient Access 52%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 2%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 2%
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 60%
ACI_EC_TRANS_PSE_1 Patient-Specific Education 60%
ACI_EC_TRANS_SM_1 Secure Messaging 0%
ACI_EC_TRANS_SM_1 Secure Messaging 0%
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 70%
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 70%
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 81%
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 81%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 34%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 34%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_131_overall Pain Assessment and Follow-Up 100%
MIPS_EC_131_overall Pain Assessment and Follow-Up 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Office Location

Street Address 16411 SOUTHPARK DR B
City WESTFIELD
State IN
Zip 46074-8469

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Marilou Tianzon Quirk Nurse Practitioner 1348 Mayfield Ct, Westfield, IN 46074-0230
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Kevin Lamb Physical Therapy Accelerated Rehabilitation Centers Ltd 956 Tournament Trl, Westfield, IN 46074-6200
Kate M Vanpoppel Physician Assistant Orthopaedics Indianapolis, Inc 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901
Michael Franklin Coscia Orthopedic Surgery Orthopaedics Indianapolis, Inc 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901
Sean J Sreniawski Physician Assistant Orthopaedics Indianapolis, Inc 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901
Gabriel E Jackson Orthopedic Surgery Orthopaedics Indianapolis, Inc 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901
Michael P Harvey Physician Assistant Orthopaedics Indianapolis, Inc 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901
Stefanie D Corbitt Physician Assistant Orthopaedics Indianapolis, Inc 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901
Elena M Rand-ready Physician Assistant Orthopaedics Indianapolis, Inc 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901
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Competitor

Search similar physicians

City WESTFIELD
Zip Code 46074
Specialty PODIATRY
City + Specialty WESTFIELD + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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