BRANT WILLIAM ULLERY (M.D.) – Vascular Surgery Physician, NPI 1588826804
Vascular Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
530 GENERAL SURGERY in OR
Provider Addresses for BRANT WILLIAM ULLERY (M.D.)
4400 NE Halsey St Ste 102
Portland, OR 972131545
Phone: (503) 216-0990
Fax: (503) 921-1021
Type: Location
25030 SW PARKWAY AVE STE 200
WILSONVILLE, OR 970709816
Phone: (971) 434-0080
Type: Mailing
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
Northeast Hoyt Street, Wilkes, Portland, Metro, Multnomah County, Oregon, 97230, United States
PORTLAND, OR 972132984
Phone: (503) 962-1020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 518 Open Payments records for all available years, with a total value of $318,741.
Total Amount is formed as General ($318,741) + Research ($0) + Ownership ($0) = $318,741.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Medtronic, Inc. ($165,650).
Total Amount
$318,741
General + Research + Ownership
Payments
518
Total payment records
General Amount
$318,741
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $165,650 |
| W. L. Gore & Associates, Inc. | $100,287 |
| Silk Road Medical, Inc. | $46,304 |
| Bolton Medical Inc | $2,770 |
| Boston Scientific Corporation | $779 |
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: 2015-04-22
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 |
|---|---|---|---|---|
| I20150422002206 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 68 | 68 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 67 | 67 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 58 | 57 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 52 | 44 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 48 | 48 | $0 |
Insurance plans in this area (ZIP 97213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | OR | |
| Vascular Surgery | UT | |
| Vascular Surgery | OR | |
| Vascular Surgery, General Surgery | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| General Surgery, Vascular Surgery | OR | |
| General Surgery, Vascular Surgery | CT | |
| Vascular Surgery | OR | |
| Nurse Practitioner | OR |
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