MR. TRAVIS L BULLOCK (MD) – Urology Physician, NPI 1699810507
Urology Physician
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Profile Insights
NPPES metrics only — not quality of care.
271 UROLOGY in MO
Provider Addresses for MR. TRAVIS L BULLOCK (MD)
12855 N. FORTY DR.
STE 375
ST. LOUIS, MO 63141
Phone: (314) 567-6071
Fax: (314) 567-3321
Type: Location
111 Saint Lukes Center Dr Ste 40
Chesterfield, MO 630173509
Phone: (314) 567-6071
Type: Location
6812 State Route 162 Ste 200
Maryville, IL 620628562
Phone: (618) 288-0900
Type: Location
12855 N 40 DR STE 350
SAINT LOUIS, MO 631418669
Phone: (314) 567-6071
Fax: (314) 567-3321
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 175 Open Payments records for all available years, with a total value of $42,131.
Total Amount is formed as General ($42,131) + Research ($0) + Ownership ($0) = $42,131.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Medtronic, Inc. ($23,983).
Total Amount
$42,131
General + Research + Ownership
Payments
175
Total payment records
General Amount
$42,131
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $23,983 |
| ABBVIE INC. | $11,903 |
| BLUEWIND MEDICAL | $1,621 |
| Valencia Technologies Corporation | $1,025 |
| COLOPLAST CORP | $958 |
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: 2008-04-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080115000058 | I | Urology | IL | TBD |
| I20080429000507 | I | Urology | MO | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 39,701 | 162 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,675 | 14 | $0 |
| 81003 | Automated urinalysis test | 1,017 | 712 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 515 | 167 | $0 |
| 51728 | Complex measurement of pressure of urine flow in bladder with voiding pressure studies | 327 | 288 | $0 |
Insurance plans in this area (ZIP 63141)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | MO | 51798 | Ultrasound measurement of bladder capacity after voiding | 395 | 351 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| N E U R O S U R G E R Y | MO | |
| Physician Assistant | IL | |
| Physician Assistant | OK | |
| N E U R O S U R G E R Y | MO | |
| - | MO | |
| Qualified Audiologist | MO | |
| Nurse Practitioner | MO | |
| U R O L O G Y | MO | |
| Otolaryngology, Plastic And Reconstructive Surgery | MO |
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