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KIM DAWN ALINA BULLOCK M.D.
NPI 1790842763
Psychiatry & Neurology - Psychiatry in Palo Alto, CA

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
300 PASTEUR DR, PALO ALTO, CA 94304(650) 723-4000 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Dawn Alina Bullock M.d. NPPES

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

KIM DAWN ALINA BULLOCK M.D. (NPI 1790842763) is an individual psychiatry provider in Palo Alto, California, licensed in California (A56037) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palo Alto, and is a graduate of George Washington University School Of Medicine (1994).

NPPES Registry Identity

NPI1790842763
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKIM DAWN ALINA BULLOCKCredential: M.D.
Location Address300 PASTEUR DRPalo Alto, CA 94304-2203
Mailing Address300 Pasteur DrPalo Alto, CA 94304-2203 · (650) 723-4000
Phone(650) 723-4000
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1994
Enumeration DateJanuary 2, 2007
Last NPPES UpdateApril 29, 2024
NPPES CertifiedApril 29, 2024
✔ NPI 1790842763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A56037
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
300 PASTEUR DR, Palo Alto, CA 94304
Open in Google Maps ↗

Secondary Practice Location 1

Location 1401 Quarry RdPalo Alto, CA 94304-1419 · Phone (650) 714-1459

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

Kim Dawn Alina Bullock 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 ID42287088
PECOS Enrollment IDI20040910000573
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 3

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.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
215 services13 patients
Psychotherapy with evaluation and management visit, 1 hour 90838
Psychotherapy with evaluation and management is a one-hour session where a mental health professional assesses your psychological state and discusses treatment options. This process aims to understand your feelings, thoughts, and behaviors to improve your overall well-being.
194 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
194 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

Other Providers at the Same Location NPPES 20

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

RHEA MATHEW
Nurse Practitioner (Adult Health)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (209) 675-3787
JUSTIN AYALA BIRNBAUM M.D.
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
MAHENDRA TAKASHI BHATI MD
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
ANDREA ERIKA AMENT M.D.
Psychiatry & Neurology (Psychosomatic Medicine)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
CATHERINE BENEDICT PHD
Psychologist (Clinical)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
RYAN THOMAS ASH MD, PHD
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
ARDEN MARIE MORRIS MD
Colon & Rectal Surgery
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
BENJAMIN ZEWDU BELAI MD
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000

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 Kim Bullock's NPI number?

The NPI number for Kim Bullock is 1790842763. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Kim Bullock located?

Kim Bullock practices at 300 Pasteur Dr, Palo Alto, CA 94304. The listed phone number is (650) 723-4000.

What is Kim Bullock's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kim Bullock enrolled in Medicare?

Yes. Kim Bullock 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.

When was this NPI record last updated?

The NPPES record for Kim Bullock was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.