CHARLES L SULLIVAN MD NPI 1619929635

NPI Information

  • NPI: 1619929635
  • Provider Name: CHARLES L SULLIVAN, MD
  • Classification: Orthopaedic Surgery - 207XS0106X
  • Specialization: Hand Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2360 MULLAN RD
    SUITE C.
    MISSOULA, MT
    ZIP 59808
  • Phone: (406) 721-4436

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NPI Details

Charles L Sullivan, MD is a hand surgery orthopaedic surgery in Missoula, MT with 24 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Charles L Sullivan, MD NPI is 1619929635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

2360 MULLAN RD
SUITE C.
MISSOULA, MT
ZIP 59808-811
Phone: (406) 721-4436
Fax: (406) 721-6053

The NPI 1619929635 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Injection into tendon or ligament (HCPCS:20550)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Evaluation for occupational therapy, typically 30 minutes (HCPCS:97165)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Injection of carpal tunnel (HCPCS:20526)
  • Follow-up training in the use of orthopedic device or artificial arm, leg and/or trunk, each 15 minutes (HCPCS:97763)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Transfer of tendon to back of hand (HCPCS:26480)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/17/2006 and was last updated on 6/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0106XOrthopaedic SurgeryHand Surgery12035MONTANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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