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BRANDON ELLIS TULLIS M.D.
NPI 1184050601
Internal Medicine - Sports Medicine in Park City, UT

Active since September 16, 2013PECOS EnrolledAccepts Medicare Assignment
3850 CANYONS RESORT DRIVE, PARK CITY, UT 84098(435) 645-4130 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2022, Dec 6, 2019 (2 updates tracked since 2019).

About Brandon Ellis Tullis M.d. NPPES

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

BRANDON ELLIS TULLIS M.D. (NPI 1184050601) is an individual sports medicine provider in Park City, Utah, licensed in Utah (5980963-1205) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (2016).

NPPES Registry Identity

NPI1184050601
Entity TypeIndividualMale
Primary Taxonomy207RS0010X
Provider Legal NameBRANDON ELLIS TULLISCredential: M.D.
Location Address3850 CANYONS RESORT DRIVEPark City, UT 84098-6546
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (435) 645-4130
Phone(435) 645-4130
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2016
Enumeration DateSeptember 16, 2013
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1184050601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
License✔ Licensed in UT · 5980963-1205
Definition
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
3850 CANYONS RESORT DRIVE, Park City, UT 84098
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Brandon Ellis Tullis M.d. 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 ID143515437
PECOS Enrollment IDI20210708001105
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
75 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.
42 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Castleview Hospital

Acute Care Hospitals · Price, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460011
Location300 North Hospital DrivePrice, UT 84501 · Carbon County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Sevier Valley Hospital

Acute Care Hospitals · Richfield, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460026
Location1000 North Main StreetRichfield, UT 84701 · Sevier County
Emergency services Birthing friendly

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460062
Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers14 claims14 services$68.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Brandon Tullis's NPI number?

The NPI number for Brandon Tullis is 1184050601. It was assigned to this individual provider in the NPPES registry on September 16, 2013.

Where is Brandon Tullis located?

Brandon Tullis practices at 3850 Canyons Resort Drive, Park City, UT 84098. The listed phone number is (435) 645-4130.

What is Brandon Tullis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Brandon Tullis enrolled in Medicare?

Yes. Brandon Tullis 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.

What insurance does Brandon Tullis accept?

Health plans from Select Health list Brandon Tullis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brandon Tullis affiliated with any hospitals?

According to CMS data, Brandon Tullis is affiliated with Utah Valley Hospital, Castleview Hospital, American Fork Hospital, Sevier Valley Hospital and Spanish Fork Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Tullis was last updated on August 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.