Shannon Marie Sullivan, M.D.
NPI 1972998680ActiveIndividual· Family Medicine· Menasha, WI
Family Medicine (M.D.) in Menasha, Wisconsin, trained at Loyola University of Chicago, Stritch School of Medicine (class of 2015). Their prescriptions cost Medicare Part D more than their services did: $383,648 for 4,860 claims, against $38,896 paid for services in 2024.
Overview
| NPI | 1972998680 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 31, 2015 |
| Last updated in NPPES | Sep 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 66251 | WI |
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 - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 122 |
|---|---|
| Services billed | 1,122 across 68 procedure codes |
| Paid by Medicare | $38,896 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,860 · 11,703 30-day fills |
|---|---|
| Patients | 407 |
| Total drug cost | $383,648 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Loyola University of Chicago, Stritch School of Medicine |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
Hospital affiliations
- Thedacare Regional Med Ctr - NeenahNeenah, WI
- Thedacare Regional Medical Center - Appleton IncAppleton, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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