ANDREW ALBERT TULLY M.D.
NPI 1811375983
Surgery in Baltimore, MD

Active since May 11, 2015PECOS Enrolled
92.26/100
CMS Quality Rating
16 S EUTAW ST FL 1, BALTIMORE, MD 21201(667) 214-1718(410) 328-6343 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2025, Aug 12, 2024, Jul 12, 2024 and 2 more (5 updates tracked since 2018).

About Andrew Albert Tully M.d. NPPES

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

ANDREW ALBERT TULLY M.D. (NPI 1811375983) is an individual surgery provider in Baltimore, Maryland, licensed in Maryland (D0097643) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2015).

NPPES Registry Identity

NPI1811375983
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameANDREW ALBERT TULLYCredential: M.D.
Location Address16 S EUTAW ST FL 1Baltimore, MD 21201-1606
Mailing AddressPo Box 64226Baltimore, MD 21264-4226 · (667) 214-1734 · Fax (410) 706-6976
Fax(410) 328-6343
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2015
Enumeration DateMay 11, 2015
Last NPPES UpdateJune 5, 20255 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1811375983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MD · D0097643
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
16 S EUTAW ST FL 1, Baltimore, MD 21201

Secondary Practice Locations 3

Location 110 S Pine St Rm 400Baltimore, MD 21201-1116 · Phone (410) 706-8155 · Fax (410) 706-0311
Location 222 S Greene StBaltimore, MD 21201-1544 · Phone (667) 214-1734 · Fax (410) 706-6976
Location 3827 Linden AveBaltimore, MD 21201-4606 · Phone (410) 225-8000 · Fax (410) 225-8605

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Albert Tully M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375837917
PECOS Enrollment IDI20260513001187
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

4

Medicare enrollment records show Andrew Tully reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
419 W REDWOOD ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 201 clinicians in this Medicare group
Psychiatry
827 LINDEN AVE STE B
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 128 clinicians in this Medicare group
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
16 S EUTAW ST FL 1
BALTIMORE, MD 21201
Surgery (Surgical Oncology)
16 S EUTAW ST FL 1
BALTIMORE, MD 21201
Surgery (Vascular Surgery)
16 S EUTAW ST FL 1
BALTIMORE, MD 21201
Internal Medicine (Nephrology)
16 S EUTAW ST FL 1
BALTIMORE, MD 21201
Thoracic Surgery (Cardiothoracic Vascular Surgery)
16 S EUTAW ST FL 1
BALTIMORE, MD 21201
Surgery
16 S EUTAW ST FL 1
BALTIMORE, MD 21201
Nurse Practitioner (Acute Care)
16 S EUTAW ST FL 1
BALTIMORE, MD 21201
Surgery (Plastic and Reconstructive Surgery)
16 S EUTAW ST FL 1
BALTIMORE, MD 21201

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 Andrew Tully's NPI number?

The NPI number for Andrew Tully is 1811375983. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Andrew Tully located?

Andrew Tully practices at 16 S Eutaw St Fl 1, Baltimore, MD 21201. The listed phone number is (667) 214-1718.

What is Andrew Tully's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Andrew Tully enrolled in Medicare?

Yes. Andrew Tully is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Tully's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Tully reassigns Medicare benefits to 4 organizations: University Of Maryland Surgical Associates, PA (Baltimore, MD), Maryland General Clinical Practice Group, Inc. (Baltimore, MD), Wake Forest University Health Sciences (Winston Salem, NC) and The Emory Clinic Inc (Atlanta, GA). 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 Andrew Tully's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Tully was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.