JOHN OWEN TULLY (MD) – Gastroenterology Physician, NPI 1265619993
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 GASTROENTEROLOGY in OH
Provider Addresses for JOHN OWEN TULLY (MD)
850 Columbia Rd Ste 200
Westlake, OH 441457215
Phone: (440) 808-1212
Fax: (440) 808-2060
Type: Location
Northcliff Avenue, Brooklyn, Cuyahoga County, Ohio, 44144, United States
BROOKLYN, OH 441443271
Phone: (440) 808-1212
Fax: (440) 808-0321
Type: Location
North Shore Gastroenterology & Endoscopy Center, 850, Columbia Road, Westlake, Cuyahoga County, Ohio, 44070, United States
STE 200
WESTLAKE, OH 441457215
Phone: (216) 767-5664
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $1,955.
Total Amount is formed as General ($1,955) + Research ($0) + Ownership ($0) = $1,955.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($470).
Total Amount
$1,955
General + Research + Ownership
Payments
89
Total payment records
General Amount
$1,955
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $470 |
| PFIZER INC. | $199 |
| QOL Medical, LLC | $180 |
| GENZYME CORPORATION | $148 |
| Takeda Pharmaceuticals U.S.A., Inc. | $99 |
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: 2011-08-01
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 |
|---|---|---|---|---|
| I20110801000260 | I | Gastroenterology | OH | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 422 | 178 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 140 | 124 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 120 | 119 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 95 | 66 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 89 | 65 | $0 |
Insurance plans in this area (ZIP 44145)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Gastroenterology, Internal Medicine | OH | |
| - | OH | |
| Gastroenterology, Pediatric Medicine, Internal Medicine | TX | |
| G A S T R O E N T E R O L O G Y | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| G A S T R O E N T E R O L O G Y | OH |
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