Donald Nicholas Sullivan, M.D.

Individual provider Active NPI Orthopaedic Surgery Physician · Mt Zion, IL

NPI 1154511517 · NPPES record last updated Jul 13, 2022

Key facts

NPI
1154511517
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
License
125-052745 (IL)
Practice address
104 Ashland
Mt Zion, IL 62549
Phone
(217) 864-2665
Fax
(217) 864-8042
NPI assigned
Jul 31, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Orthopedic Surgery
Also: Plastic and Reconstructive Surgery
Education
Southern College of Medicine and Surgery, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirby Medical Center (80 clinicians)
Pana Community Hospital Association (55 clinicians)
Decatur Orthopedic Center LLC (9 clinicians)

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Monticello, IL 61856-2116
Phone (217) 762-1540

101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246

104 E Ashland Ave
Mt Zion, IL 62549-1271
Phone (217) 864-2665

Hospital & facility affiliations

  • Memorial Home Services Home health agency · Springfield, IL · CCN 147003
  • HSHS Home Care Illinois Home health agency · Effingham, IL · CCN 147661
  • Enhabit Home Health Home health agency · Springfield, IL · CCN 147708
  • Sarah Bush Lincoln Home Care Home health agency · Charleston, IL · CCN 147594
  • Carle Home Care Home health agency · Champaign, IL · CCN 147241
  • Decatur Memorial Hospital Hospital · Decatur, IL · CCN 140135
  • St Marys Hospital Hospital · Decatur, IL · CCN 140166
  • Kirby Medical Center Hospital · Monticello, IL · CCN 141301
  • Sarah Bush Lincoln Health Center Hospital · Mattoon, IL · CCN 140189
  • St Anthonys Memorial Hospital Hospital · Effingham, IL · CCN 140032

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100 (apm)
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100 (group)
Quality
85.2
Improvement activities
40
Cost
68.05

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100 (apm)
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement50
Knee replacement99
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130719000134 IL Practitioner - Orthopedic Surgery
Practitioner - Plastic and Reconstructive Surgery
4486894508 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125-052745ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Orthopedic Center, LLC Orthopaedic Surgery Current
since Aug 1, 2013
Accepting new patients
Kirby Medical Center Current
since Jan 3, 2026
Accepting new patients
Pana Community Hospital Association Current
since Dec 17, 2020
Accepting new patients
Pana Community Hospital Association Current
since Dec 1, 2025
Accepting new patients
Pana Community Hospital Association Current
since Dec 17, 2020
Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Kirby Medical Center Past Accepting new patients

Locations

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

104 E Ashland Ave
Mt Zion, IL 62549
Phone (217) 864-2665

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

Interoperability endpoints

  • Direct secure messaging: donaldsullivan@docenter.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 125-052745 IL Yes

Addresses

Primary practice location

104 Ashland
Mt Zion, IL 62549

Mailing address

104 Ashland
Mt Zion, IL 62549
Phone (217) 864-2665

Other providers in Mt Zion, IL

All providers in Mt Zion, IL · Orthopaedic Surgery Physician in Illinois

Sources for this page

Verify at the official NPI Registry.