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

NPI Status: Active since September 14, 2011

Contact Information

210 BELLE MEAD RD
EAST SETAUKET, NY
ZIP 11733
Phone: (631) 689-1400
Fax: (631) 689-1595

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  • Individual
  • Male
  • Nurse Practitioner
  • Adult Health
  • PECOS Enrolled
  • Medicare Quality Reporting

About MICHAEL TULLY

This page provides the complete NPI Profile along with additional information for Michael Tully, a provider established in East Setauket, New York with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1669754750 assigned on September 2011. The practitioner's primary taxonomy code is 363LA2200X with license number F305746-1 (NY). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1669754750
Provider Name
MICHAEL J TULLY ANP
Gender
Male
Entity Type
Individual
Location Address
210 BELLE MEAD RD EAST SETAUKET, NY 11733
Location Phone
(631) 689-1400
Location Fax
(631) 689-1595
Mailing Address
210 BELLE MEAD RD EAST SETAUKET, NY 11733
Mailing Phone
(631) 689-1400
Mailing Fax
(631) 689-1595
Is Sole Proprietor?
No
Enumeration Date
09-14-2011
Last Update Date
09-14-2011
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A nurse practitioner (NP) like Michael Tully is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
F305746-1
License State
NY

Medicare Participation & PECOS Enrollment Status

Michael Tully is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 11733 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $105.06
  • Minimum New Patient Price $67.4
  • Maximum New Patient Price $203.53
  • Average New Patient Copayment $26.26
  • Minimum New Patient Copayment $16.85
  • Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $117.62
  • Minimum Established Patient Price $21.66
  • Maximum Established Patient Price $164.45
  • Average Established Patient Copayment $29.4
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $41.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Controlling High Blood Pressure 93% 383
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 82% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
78
Documentation of Current Medications in the Medical Record 98% 1047
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 24% 864
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 0% 862
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 40% 580
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 19% 701
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 20% 701

Reviews for MICHAEL J TULLY ANP

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669754750, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 1 + 4 + 5 + 8 + 7 + 1 + 0 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1669754750.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant (Medical)
210 BELLE MEAD RD
EAST SETAUKET, NY 11733

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669754750, enumerated as an "individual" on September 14, 2011.

The provider is located at 210 BELLE MEAD RD EAST SETAUKET, NY 11733 and the phone number is (631) 689-1400.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.