DR. TIMOTHY C BULLARD MD
NPI 1306801766
Family Medicine in Marina Del Rey, CA

Q: What is Timothy Bullard's NPI number?

The NPI number for Timothy Bullard is 1306801766. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Timothy Bullard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Bullard was last updated on October 7, 2021. 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.

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment

86.1/100

CMS Quality Rating

4560 ADMIRALTY WAY STE 100, MARINA DEL REY, CA 90292(108) 273-7003 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Timothy C Bullard Md NPPES

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

DR. TIMOTHY C BULLARD MD (NPI 1306801766) is an individual family medicine provider in Marina Del Rey, California, licensed in California (A64738) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1995).

NPPES Registry Identity

NPI1306801766

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TIMOTHY C BULLARDCredential: MD

Location Address4560 ADMIRALTY WAY STE 100Marina Del Rey, CA 90292-5424

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(108) 273-7003

Sole ProprietorYes

Medical School CMSIndiana University School Of MedicineGraduated 1995

Enumeration DateApril 19, 2006

Last NPPES UpdateOctober 7, 2021

NPPES CertifiedOctober 7, 2021

✔ NPI 1306801766 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 CA · A64738

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 ListedEmergency MedicineTaxonomy 207P00000X · License A64738 (CA), 01051619 (IN), 4301082809 (MI)

4560 ADMIRALTY WAY STE 100, Marina Del Rey, CA 90292

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Other Identifiers 4

Other930098046CA · Railroad

Medicaid1306801766MI

Other1306801766MI · Bc Bs Mi

Medicaid00A647380CA

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

Dr. Timothy C Bullard 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 ID2466491493

PECOS Enrollment IDI20050428001239

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 2

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.

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.

66 services66 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

58 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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.

86.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.93

Promoting Interoperability

100

Improvement Activities

Cost

66.73

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.

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