MR. PHILLIP GULLEY NP
NPI 1346832854
Nurse Practitioner - Primary Care in San Antonio, TX

Active since February 05, 2021PECOS EnrolledAccepts Medicare Assignment
36.28/100
CMS Quality Rating
5441 BABCOCK RD STE 301, SAN ANTONIO, TX 78240(210) 641-1394(210) 561-2846 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2022, Feb 5, 2021 (2 updates tracked since 2021).

About Mr. Phillip Gulley Np NPPES

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

MR. PHILLIP GULLEY NP (NPI 1346832854) is an individual primary care provider in San Antonio, Texas, licensed in Texas (1029830) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1346832854
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. PHILLIP GULLEYCredential: NP
Location Address5441 BABCOCK RD STE 301San Antonio, TX 78240-3993
Mailing Address5441 Babcock Rd Ste 301San Antonio, TX 78240-3993 · (210) 641-1394 · Fax (210) 561-2846
Fax(210) 561-2846
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 5, 2021
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
NPI 1346832854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in TX · 1029830
5441 BABCOCK RD STE 301, San Antonio, TX 78240

Secondary Practice Location 1

Location 15441 Babcock Rd Ste 301San Antonio, TX 78240-3993 · Phone (210) 641-1394

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

Mr. Phillip Gulley Np 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 ID8628485562
PECOS Enrollment IDI20210322000974
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

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.
100 services90 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78240 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

36.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality15.72
Improvement Activities0
Cost100

Referred Medical Equipment & Supplies CMS DME claims 2

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

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims25 services$31.71 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier20 claims20 services$32.82 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

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

Nurse Practitioner (Family)
5441 BABCOCK RD STE 301
SAN ANTONIO, TX 78240

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 Phillip Gulley's NPI number?

The NPI number for Phillip Gulley is 1346832854. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Where is Phillip Gulley located?

Phillip Gulley practices at 5441 Babcock Rd Ste 301, San Antonio, TX 78240. The listed phone number is (210) 641-1394.

What is Phillip Gulley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Phillip Gulley enrolled in Medicare?

Yes. Phillip Gulley 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 Phillip Gulley accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Phillip Gulley 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 Phillip Gulley affiliated with any hospitals?

According to CMS data, Phillip Gulley is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Phillip Gulley was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.