DAVID SHIRLEY BULLOCK M.D.
NPI 1912058272
Family Medicine in Mount Vernon, KY

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
140 NEWCOMB AVE, MOUNT VERNON, KY 40456(606) 256-5176(606) 256-4401 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About David Shirley Bullock M.d. NPPES

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

DAVID SHIRLEY BULLOCK M.D. (NPI 1912058272) is an individual family medicine provider in Mount Vernon, Kentucky, licensed in Kentucky (39587) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of University Of Kentucky College Of Medicine (2004).

NPPES Registry Identity

NPI1912058272
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID SHIRLEY BULLOCKCredential: M.D.
Location Address140 NEWCOMB AVEMount Vernon, KY 40456-2728
Mailing Address140 Newcomb AveMount Vernon, KY 40456-2728 · (606) 256-5176 · Fax (606) 256-4401
Fax(606) 256-4401
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2004
Enumeration DateJanuary 15, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1912058272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 39587
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 39587 (KY)
140 NEWCOMB AVE, Mount Vernon, KY 40456

Other Identifiers 6

Other611064744Tax Id
OtherP00333608Rail Road Medicare
Other11606348Caqh
Medicaid64114101KY
Other000000495658Anthem Bc Bs
Other1230533Cha

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

David Shirley 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 ID1557392610
PECOS Enrollment IDI20050829000316
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
85 services39 patients
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.
76 services70 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.
51 services50 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 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.
18 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Rockcastle County Hospital, Inc.

Acute Care Hospitals · Mount Vernon, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180115
Location145 Newcomb AvenueMount Vernon, KY 40456 · Rockcastle County
Emergency services

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181315
Location110 Metker TrailStanford, KY 40484 · Lincoln County
Emergency services Birthing friendly

Saint Joseph Berea

Critical Access Hospitals · Berea, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181329
Location305 Estill StreetBerea, KY 40403 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40456 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.62
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 18

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
16 suppliers110 claims239 services$5.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers50 claims58 services$1.03 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers14 claims280 services$4.74 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims800 services$0.23 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers11 claims22 services$53.69 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims19 services$38.73 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 20

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

Family Medicine
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Physician Assistant
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Nurse Practitioner
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Pediatrics
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Nurse Practitioner (Psychiatric/Mental Health)
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Nurse Practitioner (Obstetrics & Gynecology)
140 NEWCOMB AVE
MOUNT VERNON, KY 40456
Nurse Practitioner (Pediatrics)
140 NEWCOMB AVE, SUITE C AND D
MOUNT VERNON, KY 40456
Internal Medicine
140 NEWCOMB AVE
MOUNT VERNON, KY 40456

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 David Bullock's NPI number?

The NPI number for David Bullock is 1912058272. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is David Bullock located?

David Bullock practices at 140 Newcomb Ave, Mount Vernon, KY 40456. The listed phone number is (606) 256-5176.

What is David Bullock's specialty?

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

Is David Bullock enrolled in Medicare?

Yes. David 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.

Is David Bullock affiliated with any hospitals?

According to CMS data, David Bullock is affiliated with Saint Joseph London, University Of Kentucky Hospital, Rockcastle County Hospital, Inc., Ephraim Mcdowell Fort Logan Hospital and Saint Joseph Berea.

When was this NPI record last updated?

The NPPES record for David Bullock was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.