DR. GERALD J MULLAN MD
NPI 1457361503
Ophthalmology in Hazel Park, MI
About Dr. Gerald J Mullan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GERALD J MULLAN MD (NPI 1457361503) is an individual ophthalmology provider in Hazel Park, Michigan, licensed in Michigan (GM028879) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester Hills, and is a graduate of Wayne State University School Of Medicine (1968).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Gerald J Mullan 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.
Medicare Billing Reassignment
Medicare enrollment records show Gerald Mullan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hazel Park, MI 48030
- Reassigned Medicare billing, Michigan enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gerald Mullan's NPI number?
The NPI number for Gerald Mullan is 1457361503. It was assigned to this individual provider in the NPPES registry on August 9, 2006.
Where is Gerald Mullan located?
Gerald Mullan practices at 22039 John R Rd, Hazel Park, MI 48030. The listed phone number is (248) 336-3937.
What is Gerald Mullan's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Gerald Mullan enrolled in Medicare?
Yes. Gerald Mullan 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.
Which organization bills Medicare for Gerald Mullan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Mullan reassigns Medicare benefits to Our Healthy Eyes PC (Hazel Park, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gerald Mullan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gerald Mullan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Gerald Mullan 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 Gerald Mullan was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Gerald J Mullan, MD · NPI 1457361503
Ophthalmology physician in Hazel Park, Michigan. Individual provider, active in the CMS NPPES registry since August 9, 2006.
## Identity
- **NPI:** 1457361503 (Entity type: Individual)
- **Enumerated:** August 9, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** GM028879 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 22039 JOHN R RD, Hazel Park, MI 48030-1712
- **Phone:** (248) 336-3937 · **Fax:** (248) 336-3938
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Our Healthy Eyes PC (NPI 1316494123, Hazel Park, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 1968
## Record status
- **NPPES last updated:** May 21, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1457361503) · Data from the CMS NPPES public registry.