LISA ANN PULLUM (DO) – Interventional Pain Medicine Physician, NPI 1063476604
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
259 PAIN MANAGEMENT in MI
Provider Addresses for LISA ANN PULLUM (DO)
5555 GLENWOOD HILLS PKWY SE STE 2
GRAND RAPIDS, MI 495122091
Phone: (616) 940-2662
Fax: (616) 940-1965
Type: Mailing
6896 S GREENVILLE RD STE 100
GREENVILLE, MI 488381081
Phone: (616) 754-5036
Fax: (616) 754-4380
Type: Location
61, Commerce Avenue Southwest, Grand Rapids, Kent County, Michigan, 49503, United States
GRAND RAPIDS, MI 495034124
Phone: (616) 940-0660
Fax: (616) 940-1965
Type: Mailing
South Greenville Road, Eureka Township, Montcalm County, Michigan, 48838, United States
STE 100
GREENVILLE, MI 48838
Phone: (616) 754-5036
Fax: (616) 754-4380
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $1,129.
Total Amount is formed as General ($1,129) + Research ($0) + Ownership ($0) = $1,129.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Boston Scientific Corporation ($438).
Total Amount
$1,129
General + Research + Ownership
Payments
37
Total payment records
General Amount
$1,129
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 |
|---|---|
| Boston Scientific Corporation | $438 |
| Vertos Medical, Inc. | $262 |
| Stryker Corporation | $88 |
| Abbott Laboratories | $78 |
| Medtronic, Inc. | $47 |
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: 2010-02-12
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 |
|---|---|---|---|---|
| I20100212000591 | I | Pain Management | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,907 | 123 | $0 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 657 | 59 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 494 | 69 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 256 | 130 | $0 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 224 | 57 | $0 |
Insurance plans in this area (ZIP 49512)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | MI | 62311 | Injections of substances into lower or sacral spine | 184 | 95 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| - | MI | |
| Pain Management, Anesthesiology, Anesthesiology, Pain Management | CA | |
| Nurse Practitioner | MI | |
| Anesthesiology, Interventional Pain Management | TX | |
| A N E S T H E S I O L O G Y | MI | |
| N E U R O S U R G E R Y | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| - | MI |
Reviews
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