TIMOTHY JOHN MULRY D.O.
NPI 1649690868
Orthopaedic Surgery - Sports Medicine in Bay Shore, NY
About Timothy John Mulry D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY JOHN MULRY D.O. (NPI 1649690868) is an individual sports medicine provider in Bay Shore, New York, licensed in New York (282436) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
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
Timothy John Mulry D.o. 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 Timothy Mulry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ns/Lij Hs Southside Hospital
Acute Care Hospitals · Bay Shore, NYNorth Shore University Hospital
Acute Care Hospitals · Manhasset, NYLong Island Jewish Medical Center
Acute Care Hospitals · New Hyde Park, NYMedicare 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BAY SHORE, NY 11706
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 Timothy Mulry's NPI number?
The NPI number for Timothy Mulry is 1649690868. It was assigned to this individual provider in the NPPES registry on April 27, 2014.
Where is Timothy Mulry located?
Timothy Mulry practices at 217 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 647-3800.
What is Timothy Mulry's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.
Is Timothy Mulry enrolled in Medicare?
Yes. Timothy Mulry 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 Timothy Mulry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Mulry reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, 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 Timothy Mulry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Timothy Mulry affiliated with any hospitals?
According to CMS data, Timothy Mulry is affiliated with Ns/Lij Hs Southside Hospital, North Shore University Hospital and Long Island Jewish Medical Center.
When was this NPI record last updated?
The NPPES record for Timothy Mulry was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Timothy John Mulry, D.O. · NPI 1649690868
Sports Medicine physician in Bay Shore, New York. Individual provider, active in the CMS NPPES registry since April 27, 2014.
## Identity
- **NPI:** 1649690868 (Entity type: Individual)
- **Enumerated:** April 27, 2014
- **Primary specialty:** Orthopaedic Surgery - Sports Medicine · taxonomy 207XX0005X
- **State license:** 282436 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 217 E MAIN ST, Bay Shore, NY 11706-8407
- **Phone:** (631) 647-3800
## 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:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1649690868) · Data from the CMS NPPES public registry.