DR. LAURA JILL TULLY (MD) – Otolaryngology Physician, NPI 1871883066
Otolaryngology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
535 OTOLARYNGOLOGY in OH
Provider Addresses for DR. LAURA JILL TULLY (MD)
3170 KETTERING BLVD
BUILDING B, 3RD FLOOR
MORAINE, OH 454391924
Phone: (937) 991-3188
Fax: (937) 223-9811
Type: Mailing
3535 Southern Blvd
Kettering, OH 454291221
Phone: (937) 641-4000
Fax: (937) 641-4500
Type: Location
3333 W Tech Rd
Miamisburg, OH 453420955
Phone: (937) 641-4000
Fax: (937) 641-4500
Type: Location
865 W Market St
Troy, OH 453733837
Phone: (937) 641-4000
Fax: (937) 641-4500
Type: Location
PO BOX 933432
CLEVELAND, OH 441930039
Phone: (937) 641-5072
Fax: (937) 641-6129
Type: Mailing
1 CHILDRENS PLZ
DAYTON, OH 454041873
Phone: (937) 641-4000
Fax: (937) 641-4500
Type: Location
31 S STANFIELD RD STE 304
TROY, OH 453732334
Phone: (937) 440-7872
Fax: (937) 440-7874
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $454.
Total Amount is formed as General ($454) + Research ($0) + Ownership ($0) = $454.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($402).
Total Amount
$454
General + Research + Ownership
Payments
9
Total payment records
General Amount
$454
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $402 |
| GENZYME CORPORATION | $30 |
| Regeneron Healthcare Solutions, Inc. | $22 |
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: 2025-11-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170825002815 | I | Otolaryngology | OH | TBD |
| I20250221002378 | I | Otolaryngology | KY | TBD |
| I20251129000176 | I | Otolaryngology | CO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 299 | 205 | $0 |
| 69210 | Removal of impacted ear wax | 174 | 132 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 171 | 139 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 170 | 170 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 107 | 107 | $0 |
Insurance plans in this area (ZIP 45439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | CA | |
| O T O L A R Y N G O L O G Y | KY | |
| - | KY | |
| O T O L A R Y N G O L O G Y | MO | |
| - | KY | |
| Family Practice | IA | |
| - | KY | |
| Emergency Medicine | KY | |
| - | KY |
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