DR. MICHAEL BRENT BULLOCH D.O.
NPI 1700149804
Family Medicine in Cedar City, UT

Q: What is Michael Bulloch's NPI number?

The NPI number for Michael Bulloch is 1700149804. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Q: What is Michael Bulloch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Bulloch was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 June 22, 2012PECOS EnrolledAccepts Medicare Assignment

110 W 1325 N STE 200, CEDAR CITY, UT 84721(435) 586-7676 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2022, Jan 18, 2016 (2 updates tracked since 2016).

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About Dr. Michael Brent Bulloch D.o. NPPES

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

DR. MICHAEL BRENT BULLOCH D.O. (NPI 1700149804) is an individual family medicine provider in Cedar City, Utah, licensed in Utah (94725281204) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Cedar City Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1700149804

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHAEL BRENT BULLOCHCredential: D.O.

Location Address110 W 1325 N STE 200Cedar City, UT 84721-8179

Mailing Address110 W 1325 N Ste 200Cedar City, UT 84721-8179 · (435) 586-7676

Phone(435) 586-7676

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 22, 2012

Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration

NPPES CertifiedOctober 22, 2024

✔ NPI 1700149804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 94725281204

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

110 W 1325 N STE 200, Cedar City, UT 84721

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Other Identifiers 1

Medicaid1700149804UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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

Dr. Michael Brent Bulloch 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 ID7315161650

PECOS Enrollment IDI20151027001936, I20241226000503

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.

697 services160 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.

228 services176 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

140 services140 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

26 services26 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

26 services26 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460007

Location1303 North Main StreetCedar City, UT 84721 · Iron County

Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460021

Location1380 East Medical Center DriveSt George, UT 84790 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84721 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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

Breast Cancer Screening

20%108 patients1/55-star benchmark: 93%

Cervical Cancer Screening

23%293 patients1/55-star benchmark: 98%

Colorectal Cancer Screening

19%244 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

54%134 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

22%116 patients1/55-star benchmark: 100%

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

Lower rates are better for this measure.

29%116 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,652 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

63%67 patients3/55-star benchmark: 100%

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

47%644 patients2/55-star benchmark: 98%

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

80%509 patients4/55-star benchmark: 97%

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

Patients combinedPopulations: 61% · 477 patients

Patients screened: 73% · 477 patients

35%91 patients2/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

64%112 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 3% · 79 patients

Patients totalRate: 16% · 80 patients

18%80 patients3/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers27 claims55 services$5.00 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers16 claims16 services$1.03 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers18 claims18 services$21.25 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$847.22 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers28 claims28 services$106.71 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier19 claims1,140 services$6.74 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 6

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

MATTHEW DAVID RYNEARSON PA

Physician Assistant (Medical)