THOMAS JOHN PULLING MD
NPI 1487663308
Family Medicine - Sports Medicine in Farmington, ME
NPI Status: Active since August 07, 2006
Contact Information
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
Phone: (207) 778-9001
Fax: (207) 778-6072
- Individual
- Male
- Years of Experience 21
- Family Medicine
- Sports Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About THOMAS PULLING
This page provides the complete NPI Profile along with additional information for Thomas Pulling, a primary care provider established in Farmington, Maine with a medical specialization in Family Medicine, focusing in sports medicine and more than 21 years of experience. He graduated from University Of Minnesota Medical School in 2005. The healthcare provider is registered in the NPI registry with number 1487663308 assigned on August 2006. The practitioner's primary taxonomy code is 207QS0010X with license number MD18929 (ME). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1487663308
- Provider Name
- THOMAS JOHN PULLING MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 111 FRANKLIN HEALTH CMNS FARMINGTON, ME 04938
- Location Phone
- (207) 778-9001
- Location Fax
- (207) 778-6072
- Mailing Address
- 111 FRANKLIN HEALTH CMNS FARMINGTON, ME 04938
- Mailing Phone
- (207) 778-9001
- Mailing Fax
- (207) 778-6072
- Medical School Name
- UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-07-2006
- Last Update Date
- 09-05-2012
- Code Navigator
A primary care provider (PCP) like Thomas Pulling sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Sports Medicine
- Taxonomy Code
- 207QS0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD18929
- License State
- ME
- Taxonomy Description
- A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 48736 (MN) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD18929 (ME) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Thomas Pulling is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Thomas Pulling is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2466455126
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20111107000304
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.64 for a new patient copayment and $23.65 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 04938 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.58
- Minimum New Patient Price $53.26
- Maximum New Patient Price $162.77
- Average New Patient Copayment $20.64
- Minimum New Patient Copayment $13.31
- Maximum New Patient Copayment $40.69
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.6
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $132.79
- Average Established Patient Copayment $23.65
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $33.19
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for THOMAS JOHN PULLING MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 8 | 7 | 6 | 6 | 3 | 3 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 12 | 6 | 6 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 2 + 6 + 6 + 3 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1487663308 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
GINA MARIA DICROCCO ATC
Specialist/Technologist
(Athletic Trainer)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
FRANKLIN RADIOLOGY ASSOCIATES, M.D.P.A.
Radiology
(Diagnostic Ultrasound)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
JOHN CHOWNING M.D.
Pathology
(Cytopathology)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
MR. BRUCE ALAN WILLIAMSON R.PH
Pharmacist
111 FRANKLIN HEALTH CMNS
FRANKLIN MEMORIAL HOSPITAL
FARMINGTON, ME
ZIP 04938
DR. RODERICK EVERETT PRIOR M.D.
Internal Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
DR. HEATHER L. DECAROLIS D.O.
Anesthesiology
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
DR. JAMES C. LANCASTER M.D.
Anesthesiology
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
DR. PETER S. CAMPION M.D.
Anesthesiology
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
DR. STEPHEN PAUL ZANELLA D.O.
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
DR. DAVID B KEARING M.D.
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
INSIGHT-PREMIER HEALTH LLC
Physiological Laboratory
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
DR. GERALD PETER TINGUELY MD
Family Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
TIMOTHY D DAVIS PA-C
Physician Assistant
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
JAMES SYME PICKRELL PA-C
Physician Assistant
(Medical)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
DR. PETER K. CORDNER D.O.
Internal Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
DR. NELSON BURGESS RECORD M.D.
Internal Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
MS. BETSY COOK NORTON P.A.
Physician Assistant
(Surgical)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
MR. JOSEPH P. CONRAD PA-C
Physician Assistant
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
FRANKLIN PATHOLOGY SERVICES PA
Pathology
(Clinical Pathology/Laboratory Medicine)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
MR. JEREMY C STARBIRD ATC
Specialist/Technologist
(Athletic Trainer)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME
ZIP 04938
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487663308, enumerated as an "individual" on August 07, 2006.
The provider is located at 111 FRANKLIN HEALTH CMNS FARMINGTON, ME 04938 and the phone number is (207) 778-9001.
Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Harvard Pilgrim. Please consult your insurance carrier or call the provider to verify.
