1. Home
  2. Directory
  3. New York
  4. Bay Shore
  5. Orthopaedic Surgery
  6. NPI Profile

TIMOTHY JOHN MULRY D.O.
NPI 1649690868
Orthopaedic Surgery - Sports Medicine in Bay Shore, NY

Active since April 27, 2014PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
217 E MAIN ST, BAY SHORE, NY 11706(631) 647-3800 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2020, Aug 7, 2020 (2 updates tracked since 2020).

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

NPI1649690868
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameTIMOTHY JOHN MULRYCredential: D.O.
Location Address217 E MAIN STBay Shore, NY 11706-8407
Mailing Address217 E Main StBay Shore, NY 11706-8407 · (631) 647-3800
Phone(631) 647-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 27, 2014
Last NPPES UpdateAugust 10, 20202 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
✔ NPI 1649690868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in NY · 282436
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
217 E MAIN ST, Bay Shore, NY 11706
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11895 Walt Whitman Rd Ste 10Melville, NY 11747-3031 · Phone (631) 293-9700
Location 2200 West Main StBabylon, NY 11702 · Phone (631) 539-5700
Location 346 Brentwood RdBay Shore, NY 11706-6924 · Phone (631) 647-3800
Location 453 Brentwood Rd Ste FBay Shore, NY 11706-6943 · Phone (631) 647-5550
Location 5301 E Main StBay Shore, NY 11706-8458 · Phone (631) 968-3000

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

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.

PECOS PAC ID6103160403
PECOS Enrollment IDI20201014003132
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 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.
302 services217 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
192 services146 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.
137 services105 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
127 services99 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
123 services121 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
54 services42 patients

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, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$99.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. KEITH ROBERT REINHARDT M.D.
Orthopaedic Surgery
217 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3777
DR. MARCEL A BAS AGUILAR MD
Orthopaedic Surgery (Hand Surgery)
217 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 647-3800
DR. MICHAEL SCOTT LINN MD
Orthopaedic Surgery (Orthopaedic Trauma)
217 E MAIN ST, SOUTHSIDE HOSPITAL
BAY SHORE, NY 11706
Suffolk County (631) 647-3800

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.

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 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.