EMILY RACHELLE MCMULLEN-TABRY MD
NPI 1629422407
Pathology - Anatomic Pathology & Clinical Pathology in Traverse City, MI

Q: What is Emily Mcmullen-tabry's NPI number?

The NPI number for Emily Mcmullen-tabry is 1629422407. It was assigned to this individual provider in the NPPES registry on April 19, 2016. The provider is also known as Emily R Mcmullen.

Q: What is Emily Mcmullen-tabry's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment

97.04/100

CMS Quality Rating

1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-6100 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 9, 2021, Jun 29, 2020 (2 updates tracked since 2020).

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About Emily Rachelle Mcmullen-tabry Md NPPES

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

EMILY RACHELLE MCMULLEN-TABRY MD (NPI 1629422407) is an individual anatomic pathology & clinical pathology provider in Traverse City, Michigan, licensed in Michigan (4301501461) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and maintains a secondary practice location in Cadillac.

NPPES Registry Identity

NPI1629422407

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameEMILY RACHELLE MCMULLEN-TABRYCredential: MD

Location Address1105 SIXTH STTraverse City, MI 49684-2345

Mailing Address1105 Sixth StTraverse City, MI 49684-2345

Phone(231) 935-6100

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2016

Enumeration DateApril 19, 2016

Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1629422407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in MI · 4301501461

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1105 SIXTH ST, Traverse City, MI 49684

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Other Names 1

Former Name (1)Emily R Mcmullen

Secondary Practice Location 1

Location 1400 Hobart StCadillac, MI 49601-2331 · Phone (231) 876-7200

Other Identifiers 1

Medicaid1629422407MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Emily Rachelle Mcmullen-tabry 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 ID7315234903

PECOS Enrollment IDI20200824002638

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 14

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

572 services330 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

201 services62 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

136 services103 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

135 services68 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

69 services31 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

38 services36 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

28 services23 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

24 services12 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

22 services22 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

21 services20 patients

Immunologic analysis technique on serum (immunofixation) 86334

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

18 services18 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

18 services16 patients

Examination of archival tissue for genetic analysis 88363

Examination of archival tissue for genetic analysis involves studying previously collected tissue samples. This process helps detect any genetic alterations that may be linked to certain diseases. It's a crucial step in understanding your health and planning appropriate treatments.

16 services16 patients

Surgical pathology consultation and report on referred slides prepared elsewhere 88321

A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230058

Location1100 E Michigan AveGrayling, MI 49738 · Crawford County

Emergency services Birthing friendly

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230081

Location400 Hobart StCadillac, MI 49601 · Wexford County

Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230133

Location825 N Center AveGaylord, MI 49735 · Otsego County

Birthing friendly

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231322

Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

97.04/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

90.14

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.

EDWARD J WALSH MD

Radiology (Diagnostic Radiology)