DR. EDWARD A PULLEN (MD) – Family Medicine Physician, NPI 1154484400

DR. EDWARD A PULLEN (MD) is a healthcare provider. based in Puyallup, Washington. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD00024649 (WA). The NPI Number for DR. EDWARD A PULLEN (MD) is 1154484400

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD A PULLEN (MD)
NPI
1154484400
Phone
(253) 848-5951
Address
3908 10TH ST SE
Enumeration Date
18 December 2006
Last Update Date
25 January 2016

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2534037277
Graduation Year
1980 (46 years ago)
PAC ID
1355250234
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20040123000532
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. EDWARD A PULLEN (MD)

  • 10th Street Southeast, Puyallup, Pierce County, Washington, 93374, United States

    PUYALLUP, WA 983742188

    Phone: (253) 848-5951

    Fax: (253) 845-7073

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-01-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040123000532IGeneral PracticeWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 98374)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719899897View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. EDWARD A PULLEN (MD)?
The federal identifier for DR. EDWARD A PULLEN (MD) is NPI 1154484400.
Is DR. EDWARD A PULLEN (MD) active in the national directory?
DR. EDWARD A PULLEN (MD)'s public NPI profile is in an active state.
What kind of provider is DR. EDWARD A PULLEN (MD)?
The page reflects Family Medicine Physician for DR. EDWARD A PULLEN (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. EDWARD A PULLEN (MD)?
We surface Puyallup, Washington for DR. EDWARD A PULLEN (MD) based on available NPPES addresses.
Is DR. EDWARD A PULLEN (MD) a real provider?
This page reflects official NPPES data for NPI 1154484400. Always confirm identity and privileges with the practice and licensing boards.

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