ETHAN MARSHALL BULGER
NPI 1972359685
Physician Assistant in Hagerstown, MD

Active since April 24, 2024PECOS EnrolledAccepts Medicare Assignment
17301 VALLEY MALL RD STE 125, HAGERSTOWN, MD 21740(301) 790-9236 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 12, 2026, Apr 24, 2024 (2 updates tracked since 2024).

About Ethan Marshall Bulger NPPES

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

ETHAN MARSHALL BULGER (NPI 1972359685) is an individual physician assistant in Hagerstown, Maryland, licensed in Maryland (C0010237) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972359685
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameETHAN MARSHALL BULGER
Location Address17301 VALLEY MALL RD STE 125Hagerstown, MD 21740-6966
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710 · (301) 824-3343
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 24, 2024
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1972359685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MD · C0010237
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

17301 VALLEY MALL RD STE 125, Hagerstown, MD 21740

Secondary Practice Locations 2

Location 124 N Walnut St Fl 3Hagerstown, MD 21740-4738 · Phone (240) 527-2752
Location 222911 Jefferson BlvdSmithsburg, MD 21783-1617 · Phone (301) 824-3343

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

Ethan Marshall Bulger 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 ID7911483797
PECOS Enrollment IDI20260112001399
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Rehabilitation)
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Clinic/Center (Urgent Care)
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Internal Medicine (Sports Medicine)
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Clinic/Center
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Clinic/Center
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Emergency Medicine (Sports Medicine)
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Family Medicine
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Physical Therapist
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972359685, enumerated as an "individual" on April 24, 2024.

The provider is located at 17301 VALLEY MALL RD STE 125 HAGERSTOWN, MD 21740 and the phone number is (301) 790-9236.

Physician Assistant with taxonomy code 363A00000X.