DR. MICHAEL BRYAN MULLEN (MD) – Otolaryngology Physician, NPI 1174029078

DR. MICHAEL BRYAN MULLEN (MD) is a healthcare provider. based in Mount vernon, Washington. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 1174029078 (KY). The NPI Number for DR. MICHAEL BRYAN MULLEN (MD) is 1174029078

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL BRYAN MULLEN (MD)
NPI
1174029078
Phone
Not provided
Address
1400 E KINCAID ST
Enumeration Date
1 April 2018
Last Update Date
23 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603362178
Graduation Year
2018 (8 years ago)
PAC ID
8123358090
Group Practice PAC ID
6800793522
Professional Enrollment ID
I20230907002470
Address ID
WA982744036MO118XXSTXX400

Contacts

Secure Messaging
mmullen44797@skagit.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

321 OTOLARYNGOLOGY in WA

Provider Addresses for DR. MICHAEL BRYAN MULLEN (MD)

  • 1400 E KINCAID ST

    MOUNT VERNON, WA 982744127

    Phone:

    Type: Mailing

  • 118 S 12TH ST

    MOUNT VERNON, WA 982744036

    Phone: (360) 336-2178

    Fax: (360) 336-1995

    Type: Location

  • 1025, Spruce Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States

    PHILADELPHIA, PA 191076703

    Phone:

    Type: Mailing

  • 358, Duke Road, Chevy Chase, Lexington, Fayette County, Kentucky, 40502, United States

    LEXINGTON, KY 40502

    Phone: (859) 218-2143

    Fax: (859) 323-0440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,902.

Total Amount is formed as General ($1,902) + Research ($0) + Ownership ($0) = $1,902.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,837).

Total Amount

$1,902

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,902

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-09-07

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
I20230907002470IOtolaryngologyWATBD

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
99203New patient office or other outpatient visit, 30-44 minutes7878$0
92504Exam of ear using a microscope5147$0
99204New patient office or other outpatient visit, 45-59 minutes4646$0
69210Removal of impacted ear wax4140$0
99213Established patient office or other outpatient visit, 20-29 minutes3836$0
View full utilization report →

Insurance plans in this area (ZIP 98274)

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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: 6800793522View full group profile
NameSpecialtyState
D E R M A T O L O G YNY
Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical OncologyWA
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Orthopedic SurgeryWA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)WA
Internal MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
G A S T R O E N T E R O L O G YWA

Reviews

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Frequently asked questions

What is the standard ID for DR. MICHAEL BRYAN MULLEN (MD) in the U.S.?
In the U.S., DR. MICHAEL BRYAN MULLEN (MD) is identified by NPI 1174029078.
Quick check: is DR. MICHAEL BRYAN MULLEN (MD) active?
Public NPPES data shows DR. MICHAEL BRYAN MULLEN (MD) with an active NPI status right now.
What type of care does DR. MICHAEL BRYAN MULLEN (MD) provide?
DR. MICHAEL BRYAN MULLEN (MD)'s profile centers on Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MICHAEL BRYAN MULLEN (MD) in Mount Vernon, Washington?
For routing, start with Mount Vernon, Washington for DR. MICHAEL BRYAN MULLEN (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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