DR. LISA MASK BULL M.D.
NPI 1790121499
Dermatology in Tulsa, OK

Q: What is Lisa Bull's NPI number?

The NPI number for Lisa Bull is 1790121499. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Q: What is Lisa Bull's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Bull was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 21, 2013PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

9245 S MINGO RD, TULSA, OK 74133(918) 492-8980(918) 495-0607 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2019, Nov 15, 2018 (2 updates tracked since 2018).

On this page

About Dr. Lisa Mask Bull M.d. NPPES

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

DR. LISA MASK BULL M.D. (NPI 1790121499) is an individual dermatology provider in Tulsa, Oklahoma, licensed in Oklahoma (30038) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of University Of Oklahoma College Of Medicine (2013).

NPPES Registry Identity

NPI1790121499

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameDR. LISA MASK BULLCredential: M.D.

Location Address9245 S MINGO RDTulsa, OK 74133

Mailing Address9245 S Mingo RdTulsa, OK 74133-5793 · (918) 492-8980 · Fax (918) 495-0607

Phone(918) 492-8980

Fax(918) 495-0607

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2013

Enumeration DateMay 21, 2013

Last NPPES UpdateSeptember 24, 20192 updates tracked since enumeration

✔ NPI 1790121499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in OK · 30038

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9245 S MINGO RD, Tulsa, OK 74133

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Secondary Practice Location 1

Location 19245 S Mingo RdTulsa, OK 74133 · Phone (918) 492-8980 · Fax (918) 495-0607

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

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

Dr. Lisa Mask Bull M.d. 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 ID6507164944

PECOS Enrollment IDI20190109002086

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.

Medicare Billing Reassignments

Medicare enrollment records show Lisa Bull reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathology Laboratory Associates, Inc.

5.1 mi

Anatomic Pathology & Clinical Pathology

4142 S MINGO RD
Tulsa, OK 74146

Reassigned Medicare billing, Oklahoma enrollment
25 clinicians in this Medicare group

NPI 1750314076 (918) 744-2553

Ahs Oklahoma Physician Group LLC

9.9 mi

Family Medicine

1120 S UTICA AVE STE 100
Tulsa, OK 74104

Reassigned Medicare billing, Oklahoma enrollment
340 clinicians in this Medicare group

NPI 1235182775 (918) 579-3826

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 23

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,509 services213 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

696 services482 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.

574 services364 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

289 services231 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

276 services237 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

246 services156 patients

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.

122 services98 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

62 services54 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

60 services60 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

57 services51 patients

Destruction of skin growth, 15 or more growths 17111

"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.

54 services45 patients

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301

This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.

46 services40 patients

Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm 11302

This procedure involves the careful removal of a skin growth on your body, arms, or legs. The growth is between 1.1 and 2.0 cm. A special tool is used to shave off the growth, which is a quick and relatively painless process.

43 services39 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

43 services41 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

38 services37 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

38 services19 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.

19 services19 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

18 services12 patients

Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) J7308

Aminolevulinic Acid HCL is a medication applied to the skin to treat certain types of skin conditions. It works by making the skin more sensitive to light, which helps to kill abnormal skin cells. The 20% solution is a single dose of 354 mg.

15 services14 patients

Application of light with debridement to destroy precancer skin growth 96574

This procedure involves applying a special light source to the skin after removing dead tissue (debridement). The light helps destroy precancerous growths, preventing them from developing into skin cancer. It's a safe and effective method to keep your skin healthy.

14 services13 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm 11306

This procedure involves the careful removal of a small skin growth, between 0.6-1.0 cm in size, from the scalp, neck, hands, or feet. It's done using a special tool to gently shave off the growth, ensuring minimal discomfort.

13 services12 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 11307

This procedure involves the careful removal of a skin growth between 1.1 to 2.0 cm in size. The growth could be located on the scalp, neck, hands, or feet. The process is done using a sharp instrument to shave off the growth, promoting healthier skin.

13 services13 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74133 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 10

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

AELAYNA MEYER MD

Internal Medicine

9245 S MINGO RD
TULSA, OK 74133

Tulsa County (918) 492-8980

DR. GIRISH CHINTAMANI MOHAN M.D.

Dermatology

9245 S MINGO RD
TULSA, OK 74133

Tulsa County (918) 492-8980

MATTHEW BRETT DOHLMAN P.A.

Physician Assistant (Medical)

9245 S MINGO RD
TULSA, OK 74133

Tulsa County (918) 492-8980

MEGAN BLAIRE KASSEM

Physician Assistant (Medical)

9245 S MINGO RD
TULSA, OK 74133

Tulsa County (918) 574-0250

DR. BERNARD N ROBINOWITZ M.D.

Dermatology

9245 S MINGO RD, SUITE 335
TULSA, OK 74133

Tulsa County (918) 492-8980

EARL MICHAEL CALLERY D.O.

Family Medicine

9245 S MINGO RD
TULSA, OK 74133

Tulsa County (918) 574-0250

CANDICE ELISE MALDONADO NURSE PRACTITIONER

Nurse Practitioner (Family)

9245 S MINGO RD
TULSA, OK 74133

Tulsa County (918) 574-0250

DONNA MAY DEVORE F.N.P.-B.C.

Nurse Practitioner (Family)

9245 S MINGO RD
TULSA, OK 74133

Tulsa County (918) 574-0250

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 Lisa Bull's NPI number?

The NPI number for Lisa Bull is 1790121499. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Lisa Bull located?

Lisa Bull practices at 9245 S Mingo Rd, Tulsa, OK 74133. The listed phone number is (918) 492-8980.

What is Lisa Bull's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Lisa Bull enrolled in Medicare?

Yes. Lisa Bull 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 organizations bill Medicare for Lisa Bull's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bull reassigns Medicare benefits to 2 organizations: Pathology Laboratory Associates, Inc. (Tulsa, OK) and Ahs Oklahoma Physician Group LLC (Tulsa, OK). Each 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 Lisa Bull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Bull accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Lisa Bull as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Bull was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.