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TONY BULLON M.D
NPI 1881089993
Family Medicine - Adult Medicine in Decatur, GA

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
56.79/100
CMS Quality Rating
1834 CLAIRMONT RD STE 100, DECATUR, GA 30033(404) 634-4443(404) 634-4444 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2019, Jul 10, 2018, Jun 29, 2018 and 1 more (4 updates tracked since 2018).

About Tony Bullon M.d NPPES

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

TONY BULLON M.D (NPI 1881089993) is an individual adult medicine provider in Decatur, Georgia, licensed in Georgia (76895) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1881089993
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameTONY BULLONCredential: M.D
Location Address1834 CLAIRMONT RD STE 100Decatur, GA 30033
Mailing Address2945 Umberland DrAtlanta, GA 30340-4904 · (817) 526-4014
Phone(404) 634-4443
Fax(404) 634-4444
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 6, 2015
Last NPPES UpdateMarch 21, 20194 updates tracked since enumeration
✔ NPI 1881089993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in GA · 76895
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 58159 (TN)
1834 CLAIRMONT RD STE 100, Decatur, GA 30033
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Tony Bullon 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 ID8921302399
PECOS Enrollment IDI20170926002684, I20181017001692
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
348 services324 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
118 services115 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
104 services96 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
42 services41 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111310
Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County
Emergency services

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440131
Location1995 Highway 51 SCovington, TN 38019 · Tipton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

56.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality39.51
Improvement Activities40

Reported Quality Measures

Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis
100%48 patients
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.

Other Providers at the Same Location NPPES 2

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

PEYTON COHEN PA-C
Physician Assistant
1834 CLAIRMONT RD STE 100
DECATUR, GA 30033
Dekalb County (404) 634-4443
YEJIN LEE
Nurse Practitioner (Family)
1834 CLAIRMONT RD STE 100
DECATUR, GA 30033
Dekalb County (167) 882-7141

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 Tony Bullon's NPI number?

The NPI number for Tony Bullon is 1881089993. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Tony Bullon located?

Tony Bullon practices at 1834 Clairmont Rd Ste 100, Decatur, GA 30033. The listed phone number is (404) 634-4443.

What is Tony Bullon's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Tony Bullon enrolled in Medicare?

Yes. Tony Bullon 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.

What insurance does Tony Bullon accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Tony Bullon 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.

Is Tony Bullon affiliated with any hospitals?

According to CMS data, Tony Bullon is affiliated with Piedmont Walton Hospital, Atrium Health Navicent Peach and Baptist Memorial Hospital Tipton.

When was this NPI record last updated?

The NPPES record for Tony Bullon was last updated on March 21, 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.