MICHAEL J TULLY ANP
NPI 1669754750
Nurse Practitioner - Adult Health in East Setauket, NY

Q: What is Michael Tully's NPI number?

The NPI number for Michael Tully is 1669754750. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Q: What is Michael Tully's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Michael Tully was last updated on September 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 14, 2011PECOS EnrolledAccepts Medicare Assignment

210 BELLE MEAD RD, EAST SETAUKET, NY 11733(631) 689-1400(631) 689-1595 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael J Tully Anp NPPES

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

MICHAEL J TULLY ANP (NPI 1669754750) is an individual adult health provider in East Setauket, New York, licensed in New York (F305746-1) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2011).

NPPES Registry Identity

NPI1669754750

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMICHAEL J TULLYCredential: ANP

Location Address210 BELLE MEAD RDEast Setauket, NY 11733-3522

Mailing Address210 Belle Mead RdEast Setauket, NY 11733-3522 · (631) 689-1400 · Fax (631) 689-1595

Phone(631) 689-1400

Fax(631) 689-1595

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2011

Enumeration DateSeptember 14, 2011

✔ NPI 1669754750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F305746-1

210 BELLE MEAD RD, East Setauket, NY 11733

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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

Michael J Tully Anp 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 ID2163693805

PECOS Enrollment IDI20110929000078

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.

Hospital Affiliations CMS Care Compare

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330185

Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Reported Quality Measures

Controlling High Blood Pressure

93%383 patients5/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

82%78 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,047 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

24%864 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%862 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

40%580 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 20% · 701 patients

19%701 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. VANESSA VALENTI PHYSICIAN ASSISTANT

Physician Assistant (Medical)

210 BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (631) 689-1400

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 Michael Tully's NPI number?

The NPI number for Michael Tully is 1669754750. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is Michael Tully located?

Michael Tully practices at 210 Belle Mead Rd, East Setauket, NY 11733. The listed phone number is (631) 689-1400.

What is Michael Tully's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Michael Tully enrolled in Medicare?

Yes. Michael Tully 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 Michael Tully affiliated with any hospitals?

According to CMS data, Michael Tully is affiliated with John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Michael Tully was last updated on September 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.