Charles L. Sullivan, MD
NPI 1619929635ActiveIndividual· Orthopaedic Surgery, Hand Surgery· Missoula, MT
Orthopaedic Surgery, Hand Surgery (MD) in Missoula, Montana, trained at University of Utah School of Medicine (class of 2001). 423 Medicare patients in 2024, $133,021 paid; nearly all of their 61 Part D prescriptions were generic (98%).
Overview
| NPI | 1619929635 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 17, 2006 |
| Last updated in NPPES | Sep 6, 2026 |
| Certified by provider | Sep 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Hand Surgery Primary | 207XS0106X | MED-PHYS-LIC-12035 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hand Surgery (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 423 |
|---|---|
| Services billed | 1,858 across 85 procedure codes |
| Paid by Medicare | $133,021 |
Part D prescriptions in 2024
| Prescriptions (claims) | 61 · 65 30-day fills |
|---|---|
| Patients | 48 |
| Total drug cost | $375.71 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Hand Surgery |
| Secondary specialties | Orthopedic Surgery |
Medical group
- Missoula Bone and Joint LLCMissoula, MT · 57 clinicians
Hospital affiliations
- Bitterroot Health - Daly HospitalHamilton, MT
- Clark Fork Valley HospitalPlains, MT
- Community Medical CenterMissoula, MT
- St. Patrick HospitalMissoula, MT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Orthopaedic Surgery, Hand Surgery providers in Missoula
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