SAMUEL WILLIAM BULLICK (D.O.) – Pulmonary Disease Physician, NPI 1386904662
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PULMONARY DISEASE in OR
Provider Addresses for SAMUEL WILLIAM BULLICK (D.O.)
PO BOX 3777
PORTLAND, OR 972083777
Phone: (503) 413-3900
Fax: (503) 413-3710
Type: Mailing
1015 NW 22ND AVE
PORTLAND, OR 972103025
Phone: (503) 413-8407
Fax: (503) 413-6951
Type: Location
4150 V St Ste 3400
Sacramento, CA 958171460
Phone: (916) 734-4597
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($25).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| JAZZ PHARMACEUTICALS INC. | $25 |
| GlaxoSmithKline, LLC. | $16 |
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: 2018-10-22
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 |
|---|---|---|---|---|
| I20181022002155 | I | Pulmonary Disease | OR | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 116 | 57 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 62 | 27 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 27 | 14 | $0 |
| 99292 | Critical care, each additional 30 minutes | 24 | 13 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 17 | 17 | $0 |
Insurance plans in this area (ZIP 97208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Pain Management | CA | |
| - | OR | |
| Internal Medicine | OR | |
| - | OR | |
| Plastic And Reconstructive Surgery | OR |
Reviews
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