AN TULLOCH PA-C
NPI 1033781026
Physician Assistant in Potsdam, NY

Active since July 11, 2021PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 3, 2022, Jul 26, 2021, Jul 11, 2021 (3 updates tracked since 2021).

About An Tulloch Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AN TULLOCH PA-C (NPI 1033781026) is an individual physician assistant in Potsdam, New York, licensed in New York (026666) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Univ Of The Pacific Dugoni School Of Dentistry (2021).

NPPES Registry Identity

NPI1033781026
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAN TULLOCHCredential: PA-C
Location Address12 ELM STPotsdam, NY 13676-2166
Mailing Address50 Leroy StPotsdam, NY 13676-1786 · (714) 463-0413
Sole ProprietorNo
Medical School CMSUniv Of The Pacific Dugoni School Of DentistryGraduated 2021
Enumeration DateJuly 11, 2021
Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
✔ NPI 1033781026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 026666
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12 ELM ST, Potsdam, NY 13676

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

An Tulloch Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072917707
PECOS Enrollment IDI20210803002043
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services50 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
48 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
12 ELM ST
POTSDAM, NY 13676
Nurse Practitioner (Family)
12 ELM ST
POTSDAM, NY 13676
Counselor (Mental Health)
12 ELM ST
POTSDAM, NY 13676
Ophthalmology
12 ELM ST
POTSDAM, NY 13676
Counselor (Mental Health)
12 ELM ST
POTSDAM, NY 13676
Psychiatry & Neurology (Psychiatry)
12 ELM ST
POTSDAM, NY 13676
Psychologist (Clinical Child & Adolescent)
12 ELM ST
POTSDAM, NY 13676
Social Worker (Clinical)
12 ELM ST
POTSDAM, NY 13676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is An Tulloch's NPI number?

The NPI number for An Tulloch is 1033781026. It was assigned to this individual provider in the NPPES registry on July 11, 2021.

Where is An Tulloch located?

An Tulloch practices at 12 Elm St, Potsdam, NY 13676. The listed phone number is (315) 261-5420.

What is An Tulloch's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is An Tulloch enrolled in Medicare?

Yes. An Tulloch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is An Tulloch affiliated with any hospitals?

According to CMS data, An Tulloch is affiliated with Canton-Potsdam Hospital.

When was this NPI record last updated?

The NPPES record for An Tulloch was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.