DR. MELVIN DANA BULLOCK (M.D.) – Gastroenterology Physician, NPI 1093869786
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
525 GASTROENTEROLOGY in GA
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Provider Addresses for DR. MELVIN DANA BULLOCK (M.D.)
11685, Alpharetta Highway, Roswell, Fulton County, Georgia, 30076, United States
SUITE 320
ROSWELL, GA 300764913
Phone: (770) 442-5882
Fax: (470) 514-3759
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $3,817.
Total Amount is formed as General ($2,516) + Research ($1,301) + Ownership ($0) = $3,817.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($1,671).
Total Amount
$3,817
General + Research + Ownership
Payments
98
Total payment records
General Amount
$2,516
General payments
Research Amount
$1,301
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,671 |
| Olympus America Inc. | $539 |
| QOL Medical, LLC | $283 |
| Regeneron Healthcare Solutions, Inc. | $233 |
| Ardelyx, Inc. | $106 |
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: 2010-05-24
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 |
|---|---|---|---|---|
| I20100524000708 | I | Gastroenterology | GA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 43 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 38 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 52 | 48 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 35 | 35 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 31 | 24 | $0 |
Insurance plans in this area (ZIP 30076)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | GA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 16 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | GA | |
| - | GA | |
| Nurse Practitioner | FL |
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