NPI registry status
Active
2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1225262561 M.D., PH.D.
Verify on CMS → Joseph Sullivan, M.D., PH.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Petoskey, Michigan.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,661 in Pain Medicine (Physical Medicine & Rehabilitation) 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
2K
Medicare Part D claims · 242 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$597.88
25 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Joseph Sullivan, M.D., PH.D. filed 1,623 Medicare Part D claims in 2024 as a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Petoskey, Michigan, prescribing 96% generic.
- 2K
- Part D claims, 2024
- 96%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥81st
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Joseph Sullivan, M.D., PH.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1225262561), first enumerated 05/14/2009.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,623 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$597.88 in reported industry payments (25 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Michigan statewide board action statistics are published annually — these figures describe aggregate state activity, not Joseph Sullivan, M.D., PH.D.'s individual license status. Verify directly with the state medical board.
Source: MI-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1225262561 · Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI-10 · ENUM-MID · TAX-NARROW · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1225262561
- ENUM-MID 2009
- TAX-NARROW 1,661
- RX-MID 1,623
- BOOK-THIN 43 in Michigan
- PHOTO-ENUM Jonathan Simhaee · 2009
Joseph Sullivan, M.D., PH.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,623 ≥ 81st percentile 81% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Joseph Sullivan, M.D., PH.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Joseph Sullivan, M.D., PH.D.?
Quality data not reportedPrimary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
1,623 16% vs specialty avg
Specialty distribution in Michigan
How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Michigan providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pain Medicine (Physical Medicine & Rehabilitation) Physician. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1225262561 |
|---|---|
| Specialty | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | M.D., PH.D. |
| Gender | Male |
| NPI Issued | 05/14/2009 |
Hospital and facility affiliations
Facilities where Joseph Sullivan, M.D., PH.D. 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.
Eugene P Wang DO PC
Petoskey, MI
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Joseph Sullivan, M.D., PH.D.. Source: openpaymentsdata.cms.gov.
Total received
$598
Largest payer
Nevro Corp.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Michigan MI-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 - they are NOT specific to Joseph Sullivan, M.D., PH.D.. To verify Joseph Sullivan, M.D., PH.D.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases
MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Joseph Sullivan, M.D., PH.D. - brand share 4.0%
Pain Medicine (Physical Medicine & Rehabilitation) Physician average
4% brand-name claims vs 96% generic, on 1,623 2024 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 2024.
1,623
Total Claims
$44K
Total Drug Cost
242
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,837.7
- Total Day Supply
- 49,496
- Brand vs Generic
- 4% brand / 96% generic
- Brand Drug Cost
- $14K
- Generic Drug Cost
- $30K
- Opioid Claims
- 738 (45.5% rate)
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 73.6 years
- Avg HCC Risk Score
- 1.20
- Gender Split
- 68% female / 32% male
- Age Distribution
- <65: 28, 65-74: 113, 75-84: 73, 85+: 28
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Joseph Sullivan, M.D., PH.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Gabapentin
Gabapentin
256 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
245 claims
- Pregabalin
Pregabalin
164 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
103 claims
- Oxycodone Hcl 89
Oxycodone Hcl
89 claims
- Morphine Sulfate Er 81
Morphine Sulfate Er
81 claims
- Meloxicam 53
Meloxicam
53 claims
- Methocarbamol 53
Methocarbamol
53 claims
| Drug | Claims |
|---|---|
| Gabapentin | 256 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 245 |
| Pregabalin | 164 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 103 |
| Oxycodone Hcl | 89 |
| Morphine Sulfate Er Morphine Sulfate | 81 |
| Meloxicam | 53 |
| Methocarbamol | 53 |
| Tramadol Hcl | 51 |
| Morphine Sulfate | 36 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Physical Medicine & Rehabilitation) Physician in MI →
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Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Joseph Sullivan, M.D., PH.D. fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,661
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
51
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,399
Avg Claims per Provider
Joseph Sullivan, M.D., PH.D.'s 1,623 claims are above the specialty average of 1,399.
Nationwide Pain Medicine (Physical Medicine & Rehabilitation) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Sullivan, both outside Michigan so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2009)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Sullivan.
One of 43 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers enrolled in Michigan, 5 are shown here.
Frequently Asked Questions
What is Joseph Sullivan, M.D., PH.D.'s specialty? ▼
Joseph Sullivan, M.D., PH.D. specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in Petoskey, Michigan. Credentials: M.D., PH.D..
How much does Joseph Sullivan, M.D., PH.D. prescribe under Medicare Part D? ▼
In 2024, Joseph Sullivan, M.D., PH.D. wrote 1,623 Medicare Part D claims totaling $44K in drug costs for 242 beneficiaries.
Where is Joseph Sullivan, M.D., PH.D. located? ▼
Joseph Sullivan, M.D., PH.D. is located at 2375 SUMMIT PARK DR, Petoskey, MI, 49770. Phone: (231) 348-3283.
What is Joseph Sullivan, M.D., PH.D.'s NPI number? ▼
Joseph Sullivan, M.D., PH.D.'s National Provider Identifier (NPI) is 1225262561, issued on 05/14/2009.
Does Joseph Sullivan, M.D., PH.D. prescribe more brand-name or generic drugs? ▼
Joseph Sullivan, M.D., PH.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $14K in brand drug costs.
Does Joseph Sullivan, M.D., PH.D. prescribe opioids? ▼
Yes, Joseph Sullivan, M.D., PH.D. had 738 opioid claims in 2024 with an opioid prescribing rate of 45.5%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,661 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 51 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,399 Medicare Part D claims per year.
What drugs does Joseph Sullivan, M.D., PH.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Joseph Sullivan, M.D., PH.D.'s most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joseph Sullivan, M.D., PH.D. accept Medicare? ▼
Joseph Sullivan, M.D., PH.D. appears in CMS Medicare data with 1,623 Part D claims and 242 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joseph Sullivan, M.D., PH.D.'s credentials? ▼
Joseph Sullivan, M.D., PH.D.'s NPI is 1225262561 with credentials M.D., PH.D.. 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.