LANDON RAE BULLOCH M.D.
NPI 1497216816
Orthopaedic Surgery in Charlotte, NC

Q: What is Landon Bulloch's NPI number?

The NPI number for Landon Bulloch is 1497216816. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Q: What is Landon Bulloch's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Landon Bulloch was last updated on November 27, 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.

Active since March 28, 2019PECOS Enrolled

1025 MOREHEAD MEDICAL DR STE 300, CHARLOTTE, NC 28204(704) 446-2772 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Landon Rae Bulloch M.d. NPPES

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

LANDON RAE BULLOCH M.D. (NPI 1497216816) is an individual orthopaedic surgery provider in Charlotte, North Carolina, licensed in North Carolina (H0071) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1497216816

Entity TypeIndividualFemale

Primary Taxonomy207X00000X

Provider Legal NameLANDON RAE BULLOCHCredential: M.D.

Location Address1025 MOREHEAD MEDICAL DR STE 300Charlotte, NC 28204-2966

Mailing Address823 S Church St Apt 1439Greenville, SC 29601-4749 · (864) 940-9579

Phone(704) 446-2772

Sole ProprietorNo

Enumeration DateMarch 28, 2019

Last NPPES UpdateNovember 27, 2023

✔ NPI 1497216816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in NC · H0071

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1025 MOREHEAD MEDICAL DR STE 300, Charlotte, NC 28204

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Secondary Practice Location 1

Location 11000 Blythe BlvdCharlotte, NC 28203-5871 · Phone (864) 940-9579

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Landon Rae Bulloch M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

BENJAMIN JOHN AVERKAMP MD

Orthopaedic Surgery