MS. DALE LULLO AGACNP
NPI 1245720101
Nurse Practitioner - Acute Care in Orangeburg, SC

Q: What is Dale Lullo's NPI number?

The NPI number for Dale Lullo is 1245720101. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Q: What is Dale Lullo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Dale Lullo was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 16, 2018PECOS EnrolledAccepts Medicare Assignment

3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118(843) 431-2000 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2023, Aug 13, 2021, Aug 30, 2018 and 2 more (5 updates tracked since 2018).

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About Ms. Dale Lullo Agacnp NPPES

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

MS. DALE LULLO AGACNP (NPI 1245720101) is an individual acute care provider in Orangeburg, South Carolina, licensed in South Carolina (21933) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in Clinton.

NPPES Registry Identity

NPI1245720101

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMS. DALE LULLOCredential: AGACNP

Location Address3000 SAINT MATTHEWS RDOrangeburg, SC 29118

Mailing AddressPo Box 23321New York, NY 10087-0332 · (803) 533-2200

Phone(843) 431-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 16, 2018

Last NPPES UpdateOctober 12, 20235 updates tracked since enumeration

NPPES CertifiedOctober 12, 2023

✔ NPI 1245720101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in SC · 21933

Also ListedNurse PractitionerTaxonomy 363L00000X · License 21933 (SC)

3000 SAINT MATTHEWS RD, Orangeburg, SC 29118

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Secondary Practice Location 1

Location 122725 Highway 76 EClinton, SC 29325-7527 · Phone (864) 833-9100 · Fax (864) 833-9458

Other Identifiers 1

MedicaidPENDINGSC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Dale Lullo Agacnp 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 ID6103170949

PECOS Enrollment IDI20181114003340

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.

Medicare Billing Reassignments

Medicare enrollment records show Dale Lullo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Regional Medical Center Of Orangeburg And Calhoun Counties

Same address

Clinical

3000 SAINT MATTHEWS RD
Orangeburg, SC 29118

Reassigned Medicare billing, South Carolina enrollment
94 clinicians in this Medicare group

NPI 1619387123 (803) 395-4497

Musc Community Physicians

20 mi

Internal Medicine

506 NORTH ST
Bamberg, SC 29003

Reassigned Medicare billing, South Carolina enrollment
2,389 clinicians in this Medicare group

NPI 1841878006 (803) 245-6290

Sound Physicians Of South Carolina, LLC

54 mi

Hospitalist

302 UNIVERSITY PKWY
Aiken, SC 29801

Reassigned Medicare billing, South Carolina enrollment
117 clinicians in this Medicare group

NPI 1922428358 (803) 641-5000

Cogent Healthcare Of Georgia PC

172 mi

Internal Medicine

400 CHARTER BLVD
Macon, GA 31210

Reassigned Medicare billing, South Carolina enrollment
268 clinicians in this Medicare group

NPI 1609827823 (478) 757-8200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

408 services119 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.

139 services133 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.

72 services53 patients

Hospital Affiliations CMS Care Compare

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29118 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 4

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims301 services$0.43 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims5,863 services$0.85 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers27 claims27 services$17.64 avg. paid by Medicare

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

2 suppliers27 claims27 services$89.44 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.

MR. HAROLD WILLIAM ALLERTON CRNA

Nurse Anesthetist, Certified Registered