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

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: July 19, 2026.

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
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

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 6

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, 20-29 minutes 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.
94 services94 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
47 services47 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
21 services21 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
12 services12 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services11 patients
Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 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
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

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.

Internal Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Internal Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Durable Medical Equipment & Medical Supplies
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Internal Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306801766, enumerated as an "individual" on April 19, 2006.

The provider is located at 4560 ADMIRALTY WAY STE 100 MARINA DEL REY, CA 90292 and the phone number is (108) 273-7003.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.