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DR. DONALD W BULGER M.D.
NPI 1497795058
Family Medicine in Claysburg, PA

Active since June 08, 2006PECOS Enrolled
365 WARD DRIVE, CLAYSBURG, PA 16625(814) 239-2211(814) 239-8116 Get Directions Write a Review

NPPES record last updated: February 12, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Donald W Bulger M.d. NPPES

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

DR. DONALD W BULGER M.D. (NPI 1497795058) is an individual family medicine provider in Claysburg, Pennsylvania, licensed in Pennsylvania (MD025284E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497795058
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DONALD W BULGERCredential: M.D.
Location Address365 WARD DRIVEClaysburg, PA 16625-9742
Mailing Address365 Ward Drive, Po Box 267Claysburg, PA 16625-9742 · (814) 239-2211 · Fax (814) 239-8116
Phone(814) 239-2211
Fax(814) 239-8116
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateFebruary 12, 2009
✔ NPI 1497795058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD025284E
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
365 WARD DRIVE, Claysburg, PA 16625
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Other Identifiers 3

Medicare UPINB41030PA
Medicare PIN1933990E0WPA
Medicaid1037005PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donald W Bulger 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.

Medicare Billing Reassignment

Medicare enrollment records show Donald Bulger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nason Physician Practices LLC
Same address
Rural Health
365 WARD DR
Claysburg, PA 16625
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 112 clinicians in this Medicare group
NPI 1700260114 (814) 239-2211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16625 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 3

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

DR. STANLEY HERBERT KOTALA
Family Medicine
365 WARD DRIVE
CLAYSBURG, PA 16625
Blair County (814) 239-2211
CLAYSBURG MEDICAL ASSOCIATES, INC
Family Medicine
365 WARD DRIVE
CLAYSBURG, PA 16625
Blair County (814) 239-2211
DR. ALICE M LASKARIS M.D.
Family Medicine
365 WARD DRIVE
CLAYSBURG, PA 16625
Blair County (814) 239-2211

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 Donald Bulger's NPI number?

The NPI number for Donald Bulger is 1497795058. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Donald Bulger located?

Donald Bulger practices at 365 Ward Drive, Claysburg, PA 16625. The listed phone number is (814) 239-2211.

What is Donald Bulger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donald Bulger enrolled in Medicare?

Yes. Donald Bulger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Bulger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Bulger reassigns Medicare benefits to Nason Physician Practices LLC (Claysburg, PA). 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 Donald Bulger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donald Bulger was last updated on February 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.