MIRIAM K BULLARD M.D.
NPI 1922150978
Surgery in Oakland, CA

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1411 E 31ST ST, OAKLAND, CA 94602(510) 437-4965 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miriam K Bullard M.d. NPPES

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

MIRIAM K BULLARD M.D. (NPI 1922150978) is an individual surgery provider in Oakland, California, licensed in California (A79511) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1995).

NPPES Registry Identity

NPI1922150978
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMIRIAM K BULLARDCredential: M.D.
Location Address1411 E 31ST STOakland, CA 94602-1018
Mailing Address5528 Pacheco Blvd, Ste APacheco, CA 94553-5126 · (925) 363-8170
Sole ProprietorYes
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1995
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1922150978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · A79511
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.

1411 E 31ST ST, Oakland, CA 94602

Other Identifiers 3

Medicare UPINH06010CA
Medicare ID-Type Unspecified00A795111CA
Medicaid00A795110CA

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

Miriam K Bullard 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 ID3476514746
PECOS Enrollment IDI20041020000586
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 2

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.

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.
116 services58 patients
Hernia repair - groin (open) NAN19
Hernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.
0 services1 patient

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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.

Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602

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 Miriam Bullard's NPI number?

The NPI number for Miriam Bullard is 1922150978. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Miriam Bullard located?

Miriam Bullard practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 437-4965.

What is Miriam Bullard's specialty?

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

Is Miriam Bullard enrolled in Medicare?

Yes. Miriam Bullard 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 Miriam Bullard was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.