TANNER R. BULKLEY (PA-C) – Physician Assistant, NPI 1104336742
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for TANNER R. BULKLEY (PA-C)
40 W WELLSBORO ST
MANSFIELD, PA 169331411
Phone: (570) 662-1945
Type: Mailing
45 MUD CREEK RD
TROY, PA 169479529
Phone: (570) 297-3746
Type: Location
Mack Boulevard, South Poplar, Allentown, Lehigh County, Pennsylvania, 18105, United States
ALLENTOWN, PA 181035622
Phone: (484) 884-0469
Fax: (484) 884-0628
Type: Mailing
South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States
ALLENTOWN, PA 181036202
Phone: (610) 402-5369
Fax: (610) 402-5959
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $384.
Total Amount is formed as General ($384) + Research ($0) + Ownership ($0) = $384.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Novo Nordisk Inc ($81).
Total Amount
$384
General + Research + Ownership
Payments
20
Total payment records
General Amount
$384
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $81 |
| Lilly USA, LLC | $74 |
| Ardelyx, Inc. | $72 |
| Xeris Pharmaceuticals, Inc. | $39 |
| Merck Sharp & Dohme LLC | $37 |
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: 2017-11-21
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 |
|---|---|---|---|---|
| I20171121000333 | I | Physician Assistant | PA | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 34 | 34 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 31 | 29 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17 | 17 | $0 |
| 81002 | Urinalysis, manual test | 13 | 13 | $0 |
Insurance plans in this area (ZIP 16933)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | MA | |
| Nurse Practitioner | PA | |
| - | NY | |
| Nurse Practitioner | PA | |
| Registered Dietitian Or Nutrition Professional | PA | |
| Gastroenterology, Internal Medicine | PA | |
| - | PA |
Reviews
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