GLEN S O'SULLIVAN M.D. NPI 1972504652

NPI Details

Glen S O'sullivan, M.D. is a specialist in Mount Shasta, CA with 40 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Glen S O'sullivan, M.D. NPI is 1972504652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

635 LASSEN LN
MOUNT SHASTA, CA
ZIP 96067-003
Phone: (866) 668-3597
Fax: (866) 301-6641

The NPI 1972504652 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.

• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
• Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• X-ray of pelvis, 1-2 views (HCPCS:72170)
• Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
• Placement of device to stabilize or reduce pressure in lower spine in 1 disc space (HCPCS:22867)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Harvest of bone fragment for spine bone graft (HCPCS:20937)
• Removal of spine bone for insertion of neurostimulator electrode plate in spine (HCPCS:63655)
• Placement of device to stabilize or reduce pressure in lower spine in second disc space (HCPCS:22868)
• Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
• Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
• Insertion of programmable spinal canal drug infusion pump (HCPCS:62362)
• Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
• Hip replacement (HCPCS:NAN09)
• Knee replacement (HCPCS:NAN06)
• Spinal fusion (HCPCS:NAN02)
• Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
• Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 8/3/2005 and was last updated on 11/23/2010.

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:

Other Identifiers

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