Physician

Donald Nicholas Sullivan, M.D.

According to 2025 Medicare claims, Donald Sullivan, M.D. (NPI: 1154511517) practices orthopedic surgery in the Decatur, IL market, with the plurality of this provider's patient population coming from Macon, IL. This provider's primary affiliated billing organization is DECATUR ORTHOPEDIC CENTER, LLC (NPI: 1336586114; TIN: 80-0896363) and primary practice location at 62526-4163. Sullivan is affiliated with the IRCCO (ACO ID: A2619) and SBL accountable care organization (ACO ID: A5147), participating under the MSSP model.

Sullivan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 526 traditional Medicare patients, billed 2,758 HCPCS/CPT codes, and received $339,160 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 766 prescription claims across 324 beneficiaries totaling $20,367 in drug costs, led by Xarelto (Rivaroxaban). DME data shows 122 claims. Open Payments data shows 1 records totaling $22. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $8,850 and ending at $20,367. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $4,116 and ending at $192,046.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	439	2,922	$243,106
2016	556	3,207	$319,522
2017	648	3,961	$350,449
2018	697	4,248	$371,263
2019	757	4,773	$404,663
2020	709	4,388	$398,698
2021	707	4,305	$408,801
2022	673	4,183	$414,839
2023	651	4,240	$419,937
2024	526	2,758	$339,160

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	188	714	$8,850
2016	245	878	$20,363
2017	257	963	$19,064
2018	233	855	$14,016
2019	257	948	$12,345
2020	223	629	$10,831
2021	267	819	$16,509
2022	322	983	$19,936
2023	328	1,042	$27,109
2024	324	766	$20,367

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	22	22	$1,006
2017	30	30	$979
2018	50	50	$8,565
2019	85	86	$36,116
2020	41	41	$8,869
2021	37	37	$11,012
2022	19	19	$1,114
2023	12	52	$3,062
2024	108	122	$184,178

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	223	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	291	374	$61
20610	Aspiration and/or injection of fluid from large joint	107	130	$47
73564	X-ray of knee, 4 or more views	225	330	$35
73502	X-ray of hip, 2-3 views	166	263	$27

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xarelto	Rivaroxaban	20	821	$15,020
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	68	604	$1,145
Pregabalin	Pregabalin	16	540	$1,133
Omeprazole	Omeprazole	77	3,120	$452
Cephalexin	Cephalexin	101	710	$361

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A6023	Collagen dressing, sterile, size more than 48 sq. in., each	N	41	41	$179,559
A6220	Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing	N	32	32	$1,923
E0143	Walker, folding, wheeled, adjustable or fixed height	N	24	24	$1,273
E1810	Dynamic adjustable knee extension / flexion device, includes soft interface material	Y	N/R	12	$1,145
A6219	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	N	11	13	$278

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$22	Organogenesis Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Donald Nicholas Sullivan, M.D.?

Tedicare shows public-source Medicare data for Donald Nicholas Sullivan, M.D. (NPI 1154511517), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Donald Nicholas Sullivan, M.D. have ACO affiliation data?

Donald Nicholas Sullivan, M.D. is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619) and SBL accountable care organization (MSSP, ACO ID A5147).

What billing organization is linked to Donald Nicholas Sullivan, M.D.?

Donald Nicholas Sullivan, M.D. is linked to DECATUR ORTHOPEDIC CENTER, LLC (billing NPI 1336586114) in the available physician profile data.

Does Donald Nicholas Sullivan, M.D. have Open Payments data?

Donald Nicholas Sullivan, M.D. has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.