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DR. ERICK C BULAWA M.D.
NPI 1326020199
Internal Medicine in Greeneville, TN

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
438 E VANN RD STE 201, GREENEVILLE, TN 37743(423) 278-1800(423) 278-1805 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2023, Nov 27, 2018 (2 updates tracked since 2018).

About Dr. Erick C Bulawa M.d. NPPES

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

DR. ERICK C BULAWA M.D. (NPI 1326020199) is an individual internal medicine provider in Greeneville, Tennessee, licensed in Tennessee (179208) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Greeneville Community Hospital, and is a graduate of State University Of Ny Upstate Medical University (1988).

NPPES Registry Identity

NPI1326020199
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ERICK C BULAWACredential: M.D.
Location Address438 E VANN RD STE 201Greeneville, TN 37743-7202
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Phone(423) 278-1800
Fax(423) 278-1805
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1988
Enumeration DateNovember 17, 2005
Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1326020199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 179208
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X · License 179208 (TN)
Also ListedPediatricsTaxonomy 208000000X · License 179208 (TN)
438 E VANN RD STE 201, Greeneville, TN 37743
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Other Identifiers 4

MedicaidQ001917TN
Medicaid01458891NY
Other4357373TN · Bcbst
OtherP01237829TN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Dr. Erick C Bulawa 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 ID5799798435
PECOS Enrollment IDI20131029001688
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 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.
303 services92 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
106 services18 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.
73 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
68 services28 patients
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.
20 services20 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440184
Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37743 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 17

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims54 services$5.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims19 services$0.77 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$2.14 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims420 services$1.94 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers12 claims24 services$5.44 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers25 claims25 services$42.85 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 2

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

EMILY SUSONG PA-C
Physician Assistant (Medical)
438 E VANN RD STE 201
GREENEVILLE, TN 37743
Greene County (423) 278-1800
PAULA RENNER
Nurse Practitioner
438 E VANN RD STE 201
GREENEVILLE, TN 37743
Greene County (423) 278-1800

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 Erick Bulawa's NPI number?

The NPI number for Erick Bulawa is 1326020199. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Erick Bulawa located?

Erick Bulawa practices at 438 E Vann Rd Ste 201, Greeneville, TN 37743. The listed phone number is (423) 278-1800.

What is Erick Bulawa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Erick Bulawa enrolled in Medicare?

Yes. Erick Bulawa 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 Erick Bulawa accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Erick Bulawa 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 Erick Bulawa affiliated with any hospitals?

According to CMS data, Erick Bulawa is affiliated with Greeneville Community Hospital and Franklin Woods Community Hospital.

When was this NPI record last updated?

The NPPES record for Erick Bulawa was last updated on November 14, 2023. 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.