NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1154412799 MD
Verify on CMS → Andrew Sullivan, MD
Pulmonary Disease Physician in Bozeman, Montana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
649
Medicare Part D claims · 110 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
36%
generic claims · 64% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.8/100
▼ 2 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Andrew Sullivan, MD reported a CMS MIPS final score of 80.8/100 - below the 83.1 national average - and filed 649 Medicare Part D claims in 2023.
- 80.8/100
- MIPS score · -2 vs avg
- 649
- Part D claims, 2023
- 36%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Andrew Sullivan, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
81 33rd percentile higher than 33% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Andrew Sullivan, MD sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Andrew Sullivan, MD writes more Part D claims than 36% of them and scores higher on MIPS quality than 40% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Andrew Sullivan, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Andrew Sullivan, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Andrew Sullivan, MD?
Near national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
649 55% vs specialty avg
MIPS final score
80.8/100 2.3 pts vs avg
Specialty distribution in Montana
How Pulmonary Disease Physician compares to other specialties among Montana providers
Medicare quality performance, MIPS
Andrew Sullivan, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 80.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 80.8/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Andrew Sullivan, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 937 HIGHLAND BLVD STE 5510, Bozeman, MT, 59715, with a listed phone of (406) 414-4250. NPI 1154412799 was issued on 09/27/2006.
Medicare Part D records for calendar year 2023 show 649 prescription claims written by this provider, covering 110 Medicare beneficiaries and totaling roughly $938K in drug spend, split 64% brand-name and 36% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.8/100 for the 2023 performance year (Quality 88.8, Cost 58.1), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1154412799 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/27/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.806
Final Score
Avg: 83.1
88.7634
Quality
58.0898
Cost
87
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Andrew Sullivan, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Bozeman Health Deaconess Hospital
★★★★☆ 4/5
Bozeman, MT
Acute Care Hospitals
CMS CCN: 270057
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Brand-heavy
Andrew Sullivan, MD - brand share 64.0%
Pulmonary Disease Physician average
64% brand-name claims vs 36% generic, on 649 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
649
Total Claims
$938K
Total Drug Cost
110
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 960
- Total Day Supply
- 27,094
- Brand vs Generic
- 64% brand / 36% generic
- Brand Drug Cost
- $861K
- Generic Drug Cost
- $77K
- Antibiotic Claims
- 63
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 1.61
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 18, 65-74: 46, 75-84: 35, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Andrew Sullivan, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
100 claims
- Symbicort
Symbicort
55 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
46 claims
- Furosemide 26
Furosemide
26 claims
- Anoro Ellipta 25
Anoro Ellipta
25 claims
- Spiriva Respimat 25
Spiriva Respimat
25 claims
- Azithromycin 21
Azithromycin
21 claims
- Advair Hfa 20
Advair Hfa
20 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 100 |
| Symbicort Budesonide/Formoterol Fumarate | 55 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 46 |
| Furosemide | 26 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 25 |
| Spiriva Respimat Tiotropium Bromide | 25 |
| Azithromycin | 21 |
| Advair Hfa Fluticasone Propion/Salmeterol | 20 |
| Ofev Nintedanib Esylate | 19 |
| Prednisone | 19 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Andrew Sullivan, MD fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Andrew Sullivan, MD's 649 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Montana
Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as Sullivan.
Dr. David Anderson
MD
Great Falls, MT
Dr. Merhala Balasubramaniam
M.D.
Great Falls, MT
Manfred Baumgartner
Billings, MT
Dr. Richard Blevins
MD
Great Falls, MT
Dr. Anthony Dal Nogare
MD
Kalispell, MT
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Montana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Andrew Sullivan, MD's specialty? ▼
Andrew Sullivan, MD specializes in Pulmonary Disease Physician and practices in Bozeman, Montana. Credentials: MD.
How much does Andrew Sullivan, MD prescribe under Medicare Part D? ▼
In 2023, Andrew Sullivan, MD wrote 649 Medicare Part D claims totaling $938K in drug costs for 110 beneficiaries.
What is Andrew Sullivan, MD's Medicare quality score? ▼
Andrew Sullivan, MD has a CMS MIPS Final Score of 80.8/100 (Quality: 88.8, Cost: 58.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrew Sullivan, MD located? ▼
Andrew Sullivan, MD is located at 937 HIGHLAND BLVD STE 5510, Bozeman, MT, 59715. Phone: (406) 414-4250.
What is Andrew Sullivan, MD's NPI number? ▼
Andrew Sullivan, MD's National Provider Identifier (NPI) is 1154412799, issued on 09/27/2006.
Does Andrew Sullivan, MD prescribe more brand-name or generic drugs? ▼
Andrew Sullivan, MD's prescribing is 64% brand-name and 36% generic drugs by claim count, with $861K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Andrew Sullivan, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Andrew Sullivan, MD's most frequently prescribed drugs include Trelegy Ellipta, Symbicort, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrew Sullivan, MD accept Medicare? ▼
Andrew Sullivan, MD appears in CMS Medicare data with 649 Part D claims and 110 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrew Sullivan, MD's credentials? ▼
Andrew Sullivan, MD's NPI is 1154412799 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.