Donald Nicholas Sullivan, M.D.
Orthopaedic Surgery Physician · Mt Zion, IL
Donald Nicholas Sullivan, M.D. is an orthopaedic surgery physician with a practice address in Mt Zion, Illinois, and NPI 1154511517, issued on Jul 31, 2007. Check the license (Illinois 125-052745, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Donald Nicholas Sullivan
- Credential
- M.D.
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- 125-052745 IL
Self-reported in NPPES; status is on the state search - Practice location
- 104 Ashland, Mt Zion, IL 62549
- Phone
- (217) 864-2665
- Enumerated
- Jul 31, 2007
- Record last updated
- Jul 13, 2022
- Fax
- (217) 864-8042
- Medicare enrollment
- Enrolled (PECOS I20130719000134); accepts Medicare assignment
- Medical or professional school
- Southern College Of Medicine And Surgery, 2007
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 995 in Illinois → Look up another NPI →
Verify Donald Nicholas Sullivan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 125-052745Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.2 times the Medicare Part D claims of the average orthopaedic surgery physician in 2024
766 Medicare Part D claims for 324 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims. 152 claims were for opioids.
Most prescribed
- Meloxicam146 claims
- Amoxicillin112 claims
- Cephalexin101 claims
- Tramadol Hcl79 claims
- Omeprazole77 claims
- Hydrocodone-Acetaminophen68 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $22.24
1 payment: food and beverage; the largest payer was Organogenesis Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
3 hospitals and group practices
- Decatur Orthopedic Center LLCMt Zion, IL
- Kirby Medical CenterMonticello, IL · Critical Access Hospitals
- Pana Community Hospital AssociationPana, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).
Donald Nicholas Sullivan among 995 orthopaedic surgery physician records in Illinois
Donald Nicholas Sullivan, M.D. is one of 995 orthopaedic surgery physician records with a practice address in Illinois. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 51% of them.
- NPI issued2007 · 51% of these records are older, 43% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 56% of these records are
- Graduated2007 · median 2001 among the 556 with a school on file
- Record last updated2022 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 orthopaedic surgery physician records list a practice address in Mt Zion
They are 3 of the 44 NPPES records with a practice address in Mt Zion, and 995 orthopaedic surgery physician records in Illinois.
All 995 in Illinois → Every provider in Mt Zion → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Holly Chapman, APNMt Zion, IL 625491851951552
- Jacob Sams, MDMt Zion, IL 625491730340498
- M Stephen Huss, M.D.Decatur, IL 625261285638072
- Tyler Jones, M.D.Decatur, IL 625261114927019
- John Kefalas, M.D.Decatur, IL 625261386832855
- Edmund Raycraft, M.D.Decatur, IL 625261194725077
- Youssef El Bitar, M.D.Carlinville, IL 626261750669354
- William Devault, MDRobinson, IL 624541215909718
Common questions
What is Donald Nicholas Sullivan, M.D.'s NPI number?
Donald Nicholas Sullivan, M.D.'s National Provider Identifier (NPI) is 1154511517, issued on Jul 31, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Donald Nicholas Sullivan, M.D. located?
The NPPES record lists a practice address at 104 Ashland, Mt Zion, IL, 62549. Phone: (217) 864-2665. Providers update this record themselves, so call before visiting.
How can I verify Donald Nicholas Sullivan, M.D.'s license?
NPPES lists Illinois license number 125-052745, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Donald Nicholas Sullivan, M.D. prescribe under Medicare Part D?
In 2024, Donald Nicholas Sullivan, M.D. had 766 Medicare Part D claims for 324 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Donald Nicholas Sullivan, M.D.'s MIPS final score?
The 2023 MIPS final score is 95 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.