DR. MARK J TULLMAN M.D.
NPI 1629082375
Psychiatry & Neurology - Neurology in Saint Louis, MO
About Dr. Mark J Tullman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK J TULLMAN M.D. (NPI 1629082375) is an individual neurology provider in Saint Louis, Missouri, licensed in Missouri (2011013368) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of University Of Missouri, Columbia School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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. Mark J Tullman M.d. 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 Mark Tullman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
White Plains, NY 10601
- Reassigned Medicare billing, New York enrollment
- 445 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
White Plains Hospital Center
Acute Care Hospitals · White Plains, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63131 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
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 Mark Tullman's NPI number?
The NPI number for Mark Tullman is 1629082375. It was assigned to this individual provider in the NPPES registry on July 28, 2006.
Where is Mark Tullman located?
Mark Tullman practices at 3009 N Ballas Rd Suite 207B, Saint Louis, MO 63131. The listed phone number is (314) 996-7960.
What is Mark Tullman's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Mark Tullman enrolled in Medicare?
Yes. Mark Tullman 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 Mark Tullman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Tullman reassigns Medicare benefits to White Plains Physician Services PC (White Plains, NY). 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 Mark Tullman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Tullman accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Mark Tullman 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 Mark Tullman affiliated with any hospitals?
According to CMS data, Mark Tullman is affiliated with White Plains Hospital Center.
When was this NPI record last updated?
The NPPES record for Mark Tullman was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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. Mark J Tullman, M.D. · NPI 1629082375
Neurology physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 28, 2006.
## Identity
- **NPI:** 1629082375 (Entity type: Individual)
- **Enumerated:** July 28, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 2011013368 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3009 N BALLAS RD, SUITE 207B, Saint Louis, MO 63131-2322
- **Phone:** (314) 996-7960 · **Fax:** (314) 989-0235
## 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:** White Plains Physician Services PC (NPI 1124502687, White Plains, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Columbia School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** March 22, 2021
- **Other identifiers:** Medicaid 02236895 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1629082375) · Data from the CMS NPPES public registry.