RICHARD J BULTMAN M.D.
NPI 1316946189
Family Medicine in Orange Park, FL

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1594 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 264-8621(904) 215-9418 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard J Bultman M.d. NPPES

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

RICHARD J BULTMAN M.D. (NPI 1316946189) is an individual family medicine provider in Orange Park, Florida, licensed in Florida (ME017622) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1969).

NPPES Registry Identity

NPI1316946189
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD J BULTMANCredential: M.D.
Location Address1594 KINGSLEY AVEOrange Park, FL 32073-4546
Mailing Address1594 Kingsley AveOrange Park, FL 32073-4546 · (904) 264-8621 · Fax (904) 215-9418
Fax(904) 215-9418
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1969
Enumeration DateJuly 14, 2005
Last NPPES UpdateFebruary 1, 2022
NPI 1316946189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME017622
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.
1594 KINGSLEY AVE, Orange Park, FL 32073

Other Identifiers 3

Other02009FL · Blue Cross Blue Shield
OtherME017622FL · Fl License
Medicaid000458300FL

Accepted 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

Richard J Bultman 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 ID3577581982
PECOS Enrollment IDI20090120000209
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 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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
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.
18 services12 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.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1594 KINGSLEY AVE
ORANGE PARK, FL 32073
Physician Assistant
1594 KINGSLEY AVE
ORANGE PARK, FL 32073
Nurse Practitioner
1594 KINGSLEY AVE
ORANGE PARK, FL 32073
Family Medicine
1594 KINGSLEY AVE
ORANGE PARK, FL 32073
Family Medicine
1594 KINGSLEY AVE
ORANGE PARK, FL 32073

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 Richard Bultman's NPI number?

The NPI number for Richard Bultman is 1316946189. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Richard Bultman located?

Richard Bultman practices at 1594 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 264-8621.

What is Richard Bultman's specialty?

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

Is Richard Bultman enrolled in Medicare?

Yes. Richard Bultman 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 Richard Bultman accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Richard Bultman 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.

When was this NPI record last updated?

The NPPES record for Richard Bultman was last updated on February 1, 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.