DR. SIDRA B BHULLER (D.O) – Surgery Physician, NPI 1841726932
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
103 VASCULAR SURGERY in CO
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Provider Addresses for DR. SIDRA B BHULLER (D.O)
10099, RidgeGate Parkway, Lone Tree, Douglas County, Colorado, 80124, United States
SUITE 120
LONE TREE, CO 801245531
Phone: (720) 476-3364
Type: Mailing
4201 ST ANTOINE
UHC 9C
DETRIOT, MI 48201
Phone: (313) 745-7319
Type: Mailing
1140 E MICHIGAN AVE STE 300
LANSING, MI 489121806
Phone: (517) 364-5200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 72 Open Payments records for all available years, with a total value of $8,065.
Total Amount is formed as General ($8,065) + Research ($0) + Ownership ($0) = $8,065.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($2,943).
Total Amount
$8,065
General + Research + Ownership
Payments
72
Total payment records
General Amount
$8,065
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bard Peripheral Vascular, Inc. | $2,943 |
| W. L. Gore & Associates, Inc. | $1,339 |
| Medtronic, Inc. | $736 |
| ShockWave Medical, Inc | $499 |
| Endologix LLC | $464 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240718004060 | I | Vascular Surgery | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| P A T H O L O G Y | IL | |
| Nurse Practitioner | MI | |
| Vascular Surgery, General Surgery | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| Family Practice | MI |
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