DR. MADELAINE T TULLY (MD) – Family Medicine Physician, NPI 1255419784

DR. MADELAINE T TULLY (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 43526 (WI). The NPI Number for DR. MADELAINE T TULLY (MD) is 1255419784

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MADELAINE T TULLY (MD)
NPI
1255419784
Phone
(414) 935-8000
Address
PO BOX 80257
Enumeration Date
1 November 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
41493580001437
Graduation Year
2000 (26 years ago)
PAC ID
6709977473
Group Practice PAC ID
2466366059
Professional Enrollment ID
I20070809000463
Address ID
WI532081953MI3522XAVEX400
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

3,047 FAMILY PRACTICE in WI

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Provider Addresses for DR. MADELAINE T TULLY (MD)

  • PO BOX 80257

    MILWAUKEE, WI 532088004

    Phone: (414) 935-8000

    Fax: (414) 344-3396

    Type: Mailing

  • 3522, West Lisbon Avenue, Washington Park, Milwaukee, Milwaukee County, Wisconsin, 53208, United States

    MILWAUKEE, WI 53208

    Phone: (414) 935-8000

    Fax: (414) 344-3396

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $685.

Total Amount is formed as General ($685) + Research ($0) + Ownership ($0) = $685.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: PFIZER INC. ($198).

Total Amount

$685

General + Research + Ownership

Payments

38

Total payment records

General Amount

$685

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2007-08-09

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
I20070809000463IFamily PracticeWITBD

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
82962Blood glucose (sugar) test performed by hand-held instrument2413$0
83036Hemoglobin a1c level2112$0
View full utilization report →

Insurance plans in this area (ZIP 53208)

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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: 2466366059View full group profile
NameSpecialtyState
Nurse PractitionerWI
Clinical Social WorkerWI
Nurse PractitionerWI
Mental Health CounselorWI
Nurse PractitionerIL
Physician AssistantWI
P O D I A T R YWI
Internal MedicineNY
-WI
Nurse PractitionerFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MADELAINE T TULLY (MD)?
NPI 1255419784 is assigned to DR. MADELAINE T TULLY (MD) under the national enumeration system.
Is DR. MADELAINE T TULLY (MD) active in the national directory?
DR. MADELAINE T TULLY (MD)'s public NPI profile is in an active state.
Does DR. MADELAINE T TULLY (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. MADELAINE T TULLY (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MADELAINE T TULLY (MD)?
The snapshot lists Milwaukee, Wisconsin for DR. MADELAINE T TULLY (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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