DANA JILL BULLOCK MD
NPI 1114422078
Family Medicine in Fort Worth, TX

Active since March 23, 2018PECOS EnrolledAccepts Medicare Assignment
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-1173 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 23, 2023, Dec 17, 2021, Mar 23, 2018 (3 updates tracked since 2018).

About Dana Jill Bullock Md NPPES

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

DANA JILL BULLOCK MD (NPI 1114422078) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (S3952) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2018).

NPPES Registry Identity

NPI1114422078
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDANA JILL BULLOCKCredential: MD
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address1500 S Main StFort Worth, TX 76104-4917 · (817) 702-1173
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2018
Enumeration DateMarch 23, 2018
Last NPPES UpdateJune 23, 20233 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
NPI 1114422078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · S3952
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysical TherapistTaxonomy 225100000X · License 1143501 (TX)
1500 S MAIN ST, Fort Worth, TX 76104

Other Names 1

Former Name (1)Dana Jill Wallace

Accepted Insurance

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

Dana Jill Bullock Md 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 ID345678199
PECOS Enrollment IDI20200310002246
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
281 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
127 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
52 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Faith Community Hospital

Acute Care Hospitals · Jacksboro, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450241
Location215 Chisholm TrailJacksboro, TX 76458 · Jack County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$14.88 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$6.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
1500 S MAIN ST, JPS HOSIPITAL, DEPARTMENT OF ANESTHESIOLOGY
FORT WORTH, TX 76104
General Acute Care Hospital
1500 S MAIN ST, PHYSICIAN SERVICES
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FORT WORTH
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY HEALTH CENTER
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, DEPT. OF FAMILY MEDICINE
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114422078, enumerated as an "individual" on March 23, 2018.

The provider is located at 1500 S MAIN ST FORT WORTH, TX 76104 and the phone number is (817) 702-1173.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Oscar. Please consult your insurance carrier or call the provider to verify.

Dana Bullock is affiliated with: JPS HEALTH NETWORK and FAITH COMMUNITY HOSPITAL.