ANDREW J BULLA (PA-C) – Surgical Physician Assistant, NPI 1023034519

ANDREW J BULLA (PA-C) is a healthcare provider. based in Columbus, Indiana. specializing in Surgical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 10000859A (IN). The NPI Number for ANDREW J BULLA (PA-C) is 1023034519

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW J BULLA (PA-C)
NPI
1023034519
Phone
(812) 376-9353
Address
940 N MARR RD
Enumeration Date
15 July 2006
Last Update Date
5 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8123769353
Graduation Year
2006 (20 years ago)
PAC ID
5092712430
Group Practice PAC ID
0941281836
Professional Enrollment ID
I20061027000446
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ANDREW J BULLA (PA-C)

  • 940, Marr Road, Columbus, Bartholomew County, Indiana, 47201, United States

    SUITE C

    COLUMBUS, IN 472012610

    Phone: (812) 376-9353

    Fax: (812) 376-3757

    Type: Mailing

  • 2360 S 950 E

    ZIONSVILLE, IN 460778680

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-10-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061027000446IPhysician AssistantINTBD

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.

Verify on CMS Revalidation Lookup Tool

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 47201)

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Provider's Procedures

ANDREW J BULLA (PA-C) performs procedures in Surgical Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTIN20610Aspiration and/or injection of large joint or joint capsule253121
PHYSICIAN ASSISTANTIN73562X-ray of knee, 3 views5948

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941281836View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
-IN
-IN
P O D I A T R YIN
P O D I A T R YIN
Orthopedic SurgeryIN
Physical Therapist In Private PracticeIN
-NV
-IN
Orthopedic SurgeryIN

Reviews

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Frequently asked questions

What is the standard ID for ANDREW J BULLA (PA-C) in the U.S.?
In the U.S., ANDREW J BULLA (PA-C) is identified by NPI 1023034519.
Should I treat ANDREW J BULLA (PA-C) as an active provider?
Patients and plans typically see ANDREW J BULLA (PA-C) as active in the national extract.
Which specialty label fits ANDREW J BULLA (PA-C)?
NPPES ties ANDREW J BULLA (PA-C) to Surgical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ANDREW J BULLA (PA-C)?
ANDREW J BULLA (PA-C) shows a connection to Columbus, Indiana in registry-derived data.
Can I export ANDREW J BULLA (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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