JOHN OWEN TULLY MD
NPI 1265619993
Internal Medicine - Gastroenterology in Brooklyn, OH
About John Owen Tully Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN OWEN TULLY MD (NPI 1265619993) is an individual gastroenterology provider in Brooklyn, Ohio, licensed in Ohio (35.097547) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and maintains a secondary practice location in Westlake.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted 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
John Owen Tully 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Tully reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Westlake, OH 44145
- Reassigned Medicare billing, Ohio enrollment
- 21 clinicians in this Medicare group
Westlake, OH 44145
- Reassigned Medicare billing, Ohio enrollment
- 18 clinicians in this Medicare group
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 14
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parma Community General Hospital
Acute Care Hospitals · Parma, OHLutheran Hospital
Acute Care Hospitals · Cleveland, OHSouthwest General Health Center
Acute Care Hospitals · Middleburg Heights, OHCleveland Clinic Avon Hospital
Acute Care Hospitals · Avon, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Tully's NPI number?
The NPI number for John Tully is 1265619993. It was assigned to this individual provider in the NPPES registry on January 24, 2008.
Where is John Tully located?
John Tully practices at 7580 Northcliff Ave Ste 1000, Brooklyn, OH 44144. The listed phone number is (440) 808-1212.
What is John Tully's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is John Tully enrolled in Medicare?
Yes. John Tully 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.
Which organizations bill Medicare for John Tully's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Tully reassigns Medicare benefits to 2 organizations: North Shore Gastroenterology, Inc. (Westlake, OH) and North Shore Pathology LLC (Westlake, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Tully's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Tully accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list John Tully 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 John Tully affiliated with any hospitals?
According to CMS data, John Tully is affiliated with Parma Community General Hospital, Lutheran Hospital, Southwest General Health Center and Cleveland Clinic Avon Hospital.
When was this NPI record last updated?
The NPPES record for John Tully was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# John Owen Tully, MD · NPI 1265619993
Gastroenterology physician in Brooklyn, Ohio. Individual provider, active in the CMS NPPES registry since January 24, 2008.
## Identity
- **NPI:** 1265619993 (Entity type: Individual)
- **Enumerated:** January 24, 2008
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 35.097547 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 7580 NORTHCLIFF AVE STE 1000, Brooklyn, OH 44144-3271
- **Phone:** (440) 808-1212 · **Fax:** (440) 808-0321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore Gastroenterology, Inc. (NPI 1932121050, Westlake, OH); North Shore Pathology LLC (NPI 1245591965, Westlake, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 2005
## Record status
- **NPPES last updated:** January 19, 2024
- **Other identifiers:** Medicaid 0050898 (OH); Other P00992476 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1265619993) · Data from the CMS NPPES public registry.