CAROL ULLOA MD
NPI 1548435423
Psychiatry & Neurology - Neurology in Wilkes Barre, PA

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-6026 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Carol Ulloa Md NPPES

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

CAROL ULLOA MD (NPI 1548435423) is an individual neurology provider in Wilkes Barre, Pennsylvania, licensed in Massachusetts (224929) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2004).

NPPES Registry Identity

NPI1548435423
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameCAROL ULLOACredential: MD
Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0027
Mailing Address715 Albany St, C 329Boston, MA 02118-2526
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2004
Enumeration DateApril 23, 2008
Last NPPES UpdateJanuary 30, 2014
NPI 1548435423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MA · 224929
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711

Other Identifiers 1

Other10077692MA · Ein

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

Carol Ulloa 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.

PECOS PAC ID3375736515
PECOS Enrollment IDI20151103000440
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 9

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.

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
129 services70 patients
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.
68 services52 patients
Measurement of brain wave activity (eeg), 61-119 minutes 95813
The procedure you're having is an EEG, which measures your brain's electrical activity. Electrodes placed on your scalp capture signals that are recorded for 61-119 minutes. This helps identify any irregularities, aiding in diagnosing conditions like epilepsy or sleep disorders.
55 services54 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional 95983
This procedure involves a medical professional using electronic equipment to analyze and adjust your implanted neurostimulator, which helps manage nerve activity in your brain, spinal cord, or peripheral nerves. The process typically takes 15 minutes.
33 services15 patients
Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional 95718
This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.
23 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

Audiologist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Internal Medicine (Cardiovascular Disease)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Nurse Practitioner
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Student in an Organized Health Care Education/Training Program
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Psychiatry & Neurology (Neurology)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711

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 Carol Ulloa's NPI number?

The NPI number for Carol Ulloa is 1548435423. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Carol Ulloa located?

Carol Ulloa practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-6026.

What is Carol Ulloa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Carol Ulloa enrolled in Medicare?

Yes. Carol Ulloa 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 Carol Ulloa accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and UnitedHealthcare list Carol Ulloa 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 Carol Ulloa affiliated with any hospitals?

According to CMS data, Carol Ulloa is affiliated with University Of Kansas Hospital.

When was this NPI record last updated?

The NPPES record for Carol Ulloa was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.