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

Q: 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.

Q: What is David Bullock's specialty?

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

Q: 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.

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 25, 2026.

On this page

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

Phone(606) 256-5176

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

Open in Google Maps ↗

Other Identifiers 6

Other611064744Tax Id

OtherP00333608Rail Road Medicare

Other11606348Caqh

Medicaid64114101KY

Other000000495658Anthem Bc Bs

Other1230533Cha

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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

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.

Medicare Billing Reassignments

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

Rockcastle County Hospital, Inc.

0.1 mi

Rural Health

140 NEWCOMB AVE
Mount Vernon, KY 40456

Reassigned Medicare billing, Kentucky enrollment
54 clinicians in this Medicare group

NPI 1255645040 (606) 256-4148

Southeastern Emergency Physicians LLC

93 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Kentucky enrollment
828 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

Rockcastle Emergency Group, LLC

116 mi

Emergency Medicine

1141 HOSPITAL DR NW
Corydon, IN 47112

Reassigned Medicare billing, Kentucky enrollment
28 clinicians in this Medicare group

NPI 1225640154 (812) 738-4251

Green Valley Emergency Physicians, LLC

239 mi

Emergency Medicine

1530 LONE OAK RD
Paducah, KY 42003

Reassigned Medicare billing, Kentucky enrollment
220 clinicians in this Medicare group

NPI 1720755739 (271) 444-2444

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 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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180080

LocationOne Trillium WayCorbin, KY 40701 · Whitley 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

Quality

86.62

Improvement Activities

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers15 claims15 services$61.15 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers13 claims13 services$21.56 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers12 claims12 services$19.68 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers29 claims127 services$2.65 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier40 claims40 services$58.05 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

7 suppliers80 claims80 services$20.21 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers24 claims24 services$922.16 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers33 claims33 services$3.55 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

8 suppliers139 claims140 services$109.57 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers27 claims7,028 services$0.02 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

9 suppliers44 claims7,156 services$0.09 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

10 suppliers71 claims71 services$23.18 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.

DR. BRANDON COWAN MD

Family Medicine

140 NEWCOMB AVE
MOUNT VERNON, KY 40456

Rockcastle County (606) 256-4148

BRITTANY PERKINS-SAYLOR PA-C

Physician Assistant

140 NEWCOMB AVE
MOUNT VERNON, KY 40456

Rockcastle County (606) 256-5176

ROCKCASTLE VENTURES INC.

Nurse Practitioner

140 NEWCOMB AVE
MOUNT VERNON, KY 40456

Rockcastle County (606) 256-7761

SARAH CATHERINE OLIVER M.D.

Pediatrics

140 NEWCOMB AVE
MOUNT VERNON, KY 40456

Rockcastle County (606) 256-4148

CHASITY FRAKES

Nurse Practitioner (Psychiatric/Mental Health)

140 NEWCOMB AVE
MOUNT VERNON, KY 40456

Rockcastle County (606) 256-2195

MRS. CRYSTAL D BROWN ARNP

Nurse Practitioner (Obstetrics & Gynecology)

140 NEWCOMB AVE
MOUNT VERNON, KY 40456

Rockcastle County (606) 256-5176

MRS. COURTNEY PARRISH BROWNING APRN, PNP-BC

Nurse Practitioner (Pediatrics)

140 NEWCOMB AVE, SUITE C AND D
MOUNT VERNON, KY 40456

Rockcastle County (606) 256-4148

ROCKCASTLE VENTURES INC. DOING BUSINESS AS MT. VERNON CLINIC

Internal Medicine

140 NEWCOMB AVE
MOUNT VERNON, KY 40456

Rockcastle County (606) 256-4148

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.

Which organizations bill Medicare for David Bullock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Bullock reassigns Medicare benefits to 4 organizations: Rockcastle County Hospital, Inc. (Mount Vernon, KY), Southeastern Emergency Physicians LLC (Maysville, KY), Rockcastle Emergency Group, LLC (Corydon, IN) and Green Valley Emergency Physicians, LLC (Paducah, KY). 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 David Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Bullock accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list David Bullock 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 David Bullock affiliated with any hospitals?

According to CMS data, David Bullock is affiliated with Saint Joseph London, Baptist Health Corbin, 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.