2026 NPPES data Orthopaedic Surgery Physician NPI 1114004181 MD
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THOMAS SULLIVAN, MD

Orthopaedic Surgery Physician in GREEN BAY, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 415 beneficiaries · Orthopaedic Surgery Physician avg: 324
MIPS score
82.1828/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$240.25
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THOMAS SULLIVAN, MD reported a CMS MIPS final score of 82.1828/100 — below the 83.1 national average — and filed 1,109 Medicare Part D claims in 2023.

82.1828/100
MIPS score · -1 vs avg
1K
Part D claims, 2023
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.

THOMAS 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

82 39th percentile higher than 39% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

THOMAS 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 THOMAS SULLIVAN, MD?

Near national average

NPI registry status

Active

Issued 11/01/2006

NPI 1114004181

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

1,109 242% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

82.1828/100 0.917199999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Orthopaedic Surgery Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Orthopaedic Surgery Physician share within Wisconsin

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within Wisconsin

Medicare quality performance — MIPS

THOMAS SULLIVAN, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Near national average
MIPS Final Score
82.1828/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 82.1828/100 vs national avg 83.1

0%100%National avg83%82.2%
MIPS final score (Orthopaedic Surgery Physician) — 82.1828/100 vs national avg 83.1

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).

THOMAS SULLIVAN, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 2223 LIME KILN RD, GREEN BAY, WI, 54311, with a listed phone of (920) 430-8120. NPI 1114004181 was issued on 11/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SULLIVAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,109 prescription claims written by this provider, covering 415 Medicare beneficiaries and totaling roughly $20K in drug spend, with an opioid prescribing rate of 34.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 82.1828/100 for the 2023 performance year (Quality 53.1092, Cost 100), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

2223 LIME KILN RD
GREEN BAY, WI 54311

Provider Details

NPI 1114004181
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 11/01/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

82.1828
Final Score
Avg: 83.1
53.1092
Quality
100
Cost
85
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where THOMAS 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.

ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC
GREEN BAY, WI

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 THOMAS SULLIVAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$240

Largest payer

Zimmer Biomet Holdings, Inc.

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,109
Total Claims
$20K
Total Drug Cost
415
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,204
Total Day Supply
15,670
Generic Drug Cost
$9K
Opioid Claims
382 (34.4% rate)
Antibiotic Claims
355

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
0.95
Gender Split
62% female / 38% male
Age Distribution
<65: 27, 65-74: 239, 75-84: 119, 85+: 30

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What THOMAS SULLIVAN, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Amoxicillin
307
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
256
Celecoxib
163
Meloxicam
84
Tramadol Hcl
72
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
43
Clindamycin Hcl
42
Mupirocin
21
Xarelto
Rivaroxaban
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Orthopaedic Surgery Physician Overview

How THOMAS SULLIVAN, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

THOMAS SULLIVAN, MD's 1,109 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as SULLIVAN.

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS SULLIVAN, MD's specialty?
THOMAS SULLIVAN, MD specializes in Orthopaedic Surgery Physician and practices in GREEN BAY, Wisconsin. Credentials: MD.
How much does THOMAS SULLIVAN, MD prescribe under Medicare Part D?
In 2023, THOMAS SULLIVAN, MD wrote 1,109 Medicare Part D claims totaling $20K in drug costs for 415 beneficiaries.
What is THOMAS SULLIVAN, MD's Medicare quality score?
THOMAS SULLIVAN, MD has a CMS MIPS Final Score of 82.1828/100 (Quality: 53.1092, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS SULLIVAN, MD located?
THOMAS SULLIVAN, MD is located at 2223 LIME KILN RD, GREEN BAY, WI, 54311. Phone: (920) 430-8120.
What is THOMAS SULLIVAN, MD's NPI number?
THOMAS SULLIVAN, MD's National Provider Identifier (NPI) is 1114004181, issued on 11/01/2006.
Does THOMAS SULLIVAN, MD prescribe opioids?
Yes, THOMAS SULLIVAN, MD had 382 opioid claims in 2023 with an opioid prescribing rate of 34.4%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does THOMAS SULLIVAN, MD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS SULLIVAN, MD's most frequently prescribed drugs include Amoxicillin, Oxycodone-Acetaminophen, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS SULLIVAN, MD accept Medicare?
THOMAS SULLIVAN, MD appears in CMS Medicare data with 1,109 Part D claims and 415 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS SULLIVAN, MD's credentials?
THOMAS SULLIVAN, MD's NPI is 1114004181 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

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