DR. SUSAN C MCMULLEN (M.D.) – Family Medicine Physician, NPI 1699758136
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
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Provider Addresses for DR. SUSAN C MCMULLEN (M.D.)
904, South Beckham Avenue, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 757011906
Phone: (903) 596-3588
Type: Mailing
East Texas Medical Center, 100, Municipal Drive, Gun Barrel City, Henderson County, Texas, 75156, United States
SUITE 300
GUN BARREL CITY, TX 751563702
Phone: (903) 713-1571
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 100 Open Payments records for all available years, with a total value of $1,887.
Total Amount is formed as General ($1,887) + Research ($0) + Ownership ($0) = $1,887.
Last reported payment date: 2024-11-29 • Largest payer in this snapshot: PFIZER INC. ($296).
Total Amount
$1,887
General + Research + Ownership
Payments
100
Total payment records
General Amount
$1,887
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $296 |
| Lilly USA, LLC | $228 |
| GlaxoSmithKline, LLC. | $163 |
| AstraZeneca Pharmaceuticals LP | $154 |
| Amgen Inc. | $135 |
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: 2008-03-25
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 |
|---|---|---|---|---|
| I20080325000061 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 13 | 13 | $0 |
Insurance plans in this area (ZIP 75701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Critical Care (Intensivists), Pulmonary Disease | TX | |
| Orthopedic Surgery | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| Physician Assistant | TX |
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