DAVID SHIRLEY BULLOCK (M.D.) – Family Medicine Physician, NPI 1912058272
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
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Provider Addresses for DAVID SHIRLEY BULLOCK (M.D.)
140, Newcomb Avenue, Mount Vernon, Rockcastle County, Kentucky, 40456, United States
MOUNT VERNON, KY 404562728
Phone: (606) 256-5176
Fax: (606) 256-4401
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 20 Open Payments records for all available years, with a total value of $412.
Total Amount is formed as General ($412) + Research ($0) + Ownership ($0) = $412.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($88).
Total Amount
$412
General + Research + Ownership
Payments
20
Total payment records
General Amount
$412
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $88 |
| Otsuka America Pharmaceutical, Inc. | $63 |
| Lilly USA, LLC | $51 |
| Dexcom, Inc. | $49 |
| Axsome Therapeutics, Inc. | $38 |
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: 2005-08-29
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 |
|---|---|---|---|---|
| I20050829000316 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 124 | 50 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 72 | 66 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 58 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 18 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 51 | 49 | $0 |
Insurance plans in this area (ZIP 40456)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | KY | |
| Family Practice | KY | |
| Family Practice | KY | |
| Emergency Medicine, Internal Medicine | WV | |
| Family Practice, Emergency Medicine | KY | |
| Emergency Medicine | KY | |
| Emergency Medicine | KY | |
| Family Practice, Emergency Medicine | FL | |
| Family Practice, Emergency Medicine, Internal Medicine, Preventive Medicine | TN |
Reviews
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