GREGORY BULL PA-C
NPI 1639614852
Physician Assistant in Roanoke, VA

Q: What is Gregory Bull's NPI number?

The NPI number for Gregory Bull is 1639614852. It was assigned to this individual provider in the NPPES registry on December 24, 2016.

Q: What is Gregory Bull's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Bull was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 December 24, 2016PECOS EnrolledAccepts Medicare Assignment

3 RIVERSIDE CIR, ROANOKE, VA 24016(540) 224-5170(540) 985-9427 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2026, Aug 30, 2022, Dec 24, 2016 (3 updates tracked since 2016).

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About Gregory Bull Pa-c NPPES

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

GREGORY BULL PA-C (NPI 1639614852) is an individual physician assistant in Roanoke, Virginia, licensed in Virginia (0110005617) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1639614852

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGREGORY BULLCredential: PA-C

Location Address3 RIVERSIDE CIRRoanoke, VA 24016-4955

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5516

Phone(540) 224-5170

Fax(540) 985-9427

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 24, 2016

Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1639614852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110005617

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

3 RIVERSIDE CIR, Roanoke, VA 24016

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Secondary Practice Location 1

Location 1622 Fernwood DrSalem, VA 24153-2654 · Phone (732) 533-8236

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

Gregory Bull Pa-c 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 ID648555169

PECOS Enrollment IDI20170324001619

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.

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.

108 services86 patients

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615

This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.

57 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

51 services44 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

40 services40 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.

35 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Hospital Affiliations CMS Care Compare

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490024

Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24016 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

DR. JED DAVID GONZALO M.D.

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